Podcast appearances and mentions of mary purdy

Dr. Janet Patterson: Welcome to this Aphasia Access Aphasia Conversations Podcast, a series of conversations about aphasia, the LPAA model, and aphasia programs that follow this model. My name is Janet Patterson. I am a Research Speech-Language Pathologist at the VA Northern California Healthcare System in Martinez, California, and a member of the Aphasia Access Conversations Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their efforts in engaging with persons with aphasia and their families through a variety of educational materials and resources. I am the host for our episode that will feature Robin Pollens, in which you will hear about the transformative power of mentoring. These Show Notes accompany the conversation with Robin but are not a verbatim transcript.   In this episode you will hear about: 1. the presentation of the Aphasia Access, Sandra O. Glista Excellence in Mentoring award to Robin Pollens, 2. stories about mentoring from Robin's career as a speech-language pathologist, and 3. the power of a mentoring relationship to affect the relationship with people whom you mentor, from whom you receive mentoring, and with whom you share mentoring opportunities.   I am delighted to be speaking with my dear friend and longtime LPAA colleague, Robin Pollens. Robin is an ASHA certified speech language pathologist and held the positions of adjunct assistant professor in the Department of Speech, Language and Hearing Sciences at Western Michigan University, and clinical supervisor and coordinator in the Aphasia Communication Enhancement program. She also provided clinical speech-language pathology services through home health, and skilled nursing outpatient clinics.   In addition to her focus on LPAA, Robin is passionate about graduate education in speech-language pathology, palliative care, interprofessional collaboration and ethics, and has written and lectured nationally and internationally on these topics.  In 2023 Robin was awarded the Sandra O. Glista Excellence in Mentoring award from Aphasia Access. 2023 marks the inaugural award given to both Robin and Leora Cherney from the Shirley Ryan Ability Lab in Chicago. The “Sandy” is awarded by Aphasia Access and recognizes an exceptional mentor who has demonstrated unwavering commitment, unparalleled guidance, and profound impact on the professional and personal development of others working in the aphasia community. The award is named in honor of Sandy Glista, one of the founders of Aphasia Access, and is a testament to her enduring legacy, and a reminder of the transformative power of mentorship.   Welcome Robin, to this edition of Aphasia Access conversations. Ms. Robin Pollens: Janet, thank you. Thank you so much for all that intro, and it's nice to be here to talk with you today. I want to also right now, thank Aphasia Access for this honor. It was especially meaningful, towards the end of my career, to receive a mentorship award and to hope there's something that I did, or I said, or I wrote over the years that was meaningful to somebody else. I also appreciate that I'm sharing this inaugural award with a wonderful friend, Leora Cherney, and that this award is named for my close friend and collaborative partner, Sandra Glista. It's a real honor to have received it and an honor to talk with you today, Janet. Janet: The feeling is mutual about talking with you, Robin, and the honor is certainly well deserved. Robin, as I mentioned earlier, you were honored with the Sandra O. Glista Excellence in Mentoring award. This award recognizes your commitment to mentoring individuals who are part of the aphasia community, including clinicians, researchers, persons with aphasia, and their care partners, students and others. Through Sandy Glista and this award, we are reminded of the transformative power of mentoring. Robin, how do you envision the value of mentoring to individuals and to the Aphasia community?  Robin: When I received this award, it set me on the road to reminiscence. I remember being in, I think, undergrad, studying Speech and Hearing Sciences and I had not yet done any clinical work. I had the opportunity to sit and observe a grad student doing an aphasia assessment with a patient. I was sitting behind this two-way mirror and I'm watching, and my mind is going, “okay, she holds up this card; and then she writes something down; and then she has someone point.” That's what my mind was doing. Sitting behind the two-way mirror with me happened to be a visiting professor from Australia named Anne. She turned to me and said, “Look at all of that empathy”. And I went, in my mind, “Empathy, what does that have to do with it?” Then I looked through the mirror, and I saw that this grad student was talking softly and looking kindly in her eyes, and kind of patting the client when she got frustrated. I thought, “Oh, I guess that's part of this.” So I'm thankful for her (Anne) and I feel like she was my first mentor. She only said one sentence to me, but it set me on a path for what it means to be an SLP. I know that recently, like in the last five years, there's been more discussion in our field about the importance of counseling, and mental health and people with aphasia. When I would be watching a grad student doing therapy, and I'm supervising, sometimes I would see them having what I would call a counseling moment. I would make sure to let them know later, saying perhaps, “I saw when the patient was frustrated, you stopped the task and you talked with them kindly. They told you about some things that were happening, and you gave an empathic comment.” This is the way that I think about mentoring, that it's a pathway to learning or growth that comes out of your own experience, and then it goes on to others and recreates. I can go on and on with stories.         Janet: Please do tell stories, Robin, because I'm fascinated by stories. I have another question though, Robin, as you continue to tell me your stories, you've led right into the question that's on my mind. People may think of mentoring as one way, such as the experience that you had sitting behind the mirror and watching the graduate student. I see mentoring as an interactive relationship that goes multiple ways. I would love to hear more of your stories and learn about your thoughts about interactive mentorship. Does that make sense to you?  Robin: Yes, I do like that framework that you just said, Janet. And when I knew I was going to be doing this discussion with you today, of course, I went online, and I looked up mentoring to see what kind of definitions I might find. I actually found a website that I liked; it was Art of Mentoring. The definition for mentor they used was a coach, a connector, or even a challenger to help their mentees reach their full potential. The mentee will lead the relationship, inviting the mentor into their own inner dialogue to assist in working through, and I really liked that. I think that's ideally how the relationship can work. So, for example, when I was supervising the students in the ACE program, when it got to be in the middle of the semester, we would have a midterm conference and I would always say, “Tell me about your goals for yourself for the rest of this semester, how would you like me to help you?” The answers were so varied, there were some people that were very focused on the clinical learning tasks, they might say something like, I'm having trouble being in the conversation and keeping track of data, or this patient's talking so much, I don't know how to navigate the session to get everyone involved. So, there were clinical skills. Whereas there were other people that would say something like, I get so anxious before the session, I'm so nervous, it takes me a while after I met it to really be able to focus on what's happening. Those are two very different kinds of goals, and I wouldn't have known as their supervisor and mentor for that situation if I hadn't asked, and if they hadn't, let me know. So, I do think that that's important. I also think sometimes we have to seek out our own mentors; that's part of the relationship. In the beginning of my career when I was in my clinical fellowship year, I didn't have one of these strong clinical fellowship, amazing experiences that some people did, I was in a public school, and I had someone who was my supervisor. During that time, I was able to get a position in a different city, working in the hospitals, and another supervisor agreed to keep following me as the supervisor. In the hospital, I had some new patients that had had injuries, and I wasn't sure what to do. My supervisor didn't know anything about that, and I ended up going to a conference in Braintree, Massachusetts, and they were talking about this new thing called Rancho Los Amigos Scale, and I learned about it and brought it back. Sometimes throughout our careers, I think you need to actively seek out a mentor. I think I remember that Aphasia Access started a program where if you wanted to be a mentor, or you have a mentor, you can let them know; I think that's great, because there's always things that go on as your career continues that you may want to get some guidance for. Janet: What I'm hearing you say, Robin, if I can paraphrase your words, is as an individual, a good thing is for one to be open to mentoring opportunities, whether you provide them or acknowledge them, when you see a student or a colleague performing in an empathetic manner, or for your own self seeking out someone to give you assistance. The mentoring could be a large role, such as in a CFY, or a lengthy one such as a  two- or three-year relationship, or it could be a very short-term kind of mentorship. This seems to me to be what you're saying, make yourself open to learning and interacting with all sorts of people, because they can have an influence on your life, and presumably, you on theirs as well.  Robin: You summarized that great Janet. Yes, and I know that when I was working in home care quite a long time ago, I remember feeling in awe of the family members, the amount of care and the total concern, and they modified their life to care for their loved one. All of a sudden, I remember that feeling, and then fast forward two decades later, when some of my family members had illness, and I was in that role. I was drawing upon what I learned from them, which in turn, I share with our families of the people with aphasia when they're having medical situations. So hopefully, we're just all doing this for each other, throughout our lives.   Janet: What's the phrase “together, we're more powerful”, that's not it exactly, but our thinking together and the little pieces of information about mentorship or actions about mentorship, that you can recall from 15 or 20 years ago, that can help you today, are just as important as the word someone says to you this afternoon, about how you can be a better clinician, or you can give guidance to someone who is seeking it from you. Exactly. Robin, in your position at Western Michigan University, I know you have mentored numerous students, and we could probably talk for months or years about wonderful stories. Some of them, most of them, I'm sure are successful, but there probably were a few that were less successful mentorship relationships. I know that you've mentored students, what I'm interested in learning from you is have you also mentored persons with aphasia or their care partners?   Robin: Yes, and I think there are different ways to mentor somebody with aphasia. I think the piece of it I'm going to pick up on has to do with helping them express their identity, helping them to reach their level. And again, I think for me, the roots of it came actually long before I knew about Life Participation Approach to Aphasia, it wasn't really articulated yet. I remember working in home care with a woman in her 40s. She had her stroke, and she had severe aphasia. But also, all of a sudden, she could no longer work as a crossing guard. That was her work, as a crossing guard for the elementary school. She also was no longer part of her caring circle at church, she was the one that greeted people, and sent get-well cards. I think that one really struck me because I was also on the caring circle at my temple. So, we ended up in therapy focusing on reading and writing, but in the context of being able to write sympathy or get-well cards. She made a dictionary of phrases you could write and things like that. So, fast forward to being in the ACE program, which was created by myself and Sandra Glista, to be a place where goals were addressed, not only the impairment level, but also the participation level, and there's certainly countless examples there I can think of, even from way back in the beginning, because it's in the article that we wrote. There was an organization in our city called Senior Corps, and it's actually in many states still. We trained some of the volunteers to communicate with people with aphasia, and then matched them with some of our people with something they wanted to do. So, one of the people ended up being, with his conversation partner, part of a bowling league, an accessible bowling league. He was young, he'd always been in sports, and he was just sitting home so that was his identity. Another person was matched with a woman who ended up going into a first-grade art class in elementary school once a week and helping out in that art program with her conversation partner. So, these were things that we started saying, we're working on communication, but we're also in some way guiding them towards a meaningful and participatory life. So that's one way, I hope that I've been a mentor for some people with aphasia. Janet: I bet you have been a mentor for a lot of people with aphasia, because I can just visualize you thinking, and tapping into all the information from your former mentors, as you try to find ways to help an individual with aphasia, and his or her care partner or friend, take that step to being able to do whatever it is that they'd like to do, as well as they can possibly do it. I'm glad that you've had all these mentoring opportunities, and I think you're a leader in this field.   Robin: Thank you, Janet. I'd also say I think a way to be a mentor with someone with aphasia is also just having an authentic relationship with them, when their communication changes so much and people don't know how to communicate with them, and they don't know how to communicate with others. Being someone that they know they can talk with, they can relate with and laugh with, I think that in and of itself is a valuable way for interacting with somebody who has a sudden change in their communication.   Janet: You're talking about accepting someone for who they are, meeting them where they are, and together, you have a relationship that is built on trust, so that that individual would be more willing to accept from you, ideas that you suggest. They may be wacky ideas at the moment, but they certainly work in the long run. That relationship helps you both accept information from each other. I'm really curious, you've told us several stories about mentoring, and we'd love to hear many, many more. Can you think of a favorite mentoring experience you've had in some part of your career? Tell us one about one of those.   Robin: Sure, I'll name the one that I just got to go through. That was mentoring the next coordinator of the Aphasia communication Enhancement Program, which is Alison Mezcal. I had the great pleasure to stay for a semester while she was there, and we were able to do all of the coordinating. I already knew that she was a great clinician, she already knew the ACE program, she had been our student 10 years before. But the coordination piece, which is scheduling, and contacting people and planning, and all that would be new. So, we got to do it together over the semester and that was so satisfying to be able to do that. I also literally cleaned out the office and all the files and all the things so that it was ready for the next person. I know many people don't get to leave their position with the opportunity to do that, to directly mentor the next person, and it was a great pleasure. Janet, on the mentoring website, they talked about their logo, and it was two geese flying in, here's what they said, “The geese at the front of the flock improve the aerodynamics to make it easier for the followers to fly; the geese at the back honk to encourage the front geese to keep pushing forward.” And they are constantly shifting position, meaning the mentor could be leading from behind or in front, and sometimes just flying alongside. And that's what I had the opportunity to do with Allison. So that was a great pleasure.   Janet: That was a great story, Robin. I just imagine the warmth it brought to your heart as you watch this living thing that you and Sandy created many years ago, move on to the next generation. But you know, I thought about something else, too, that this is part of, I think, what might be thoughts that a mentor has to consider. So, you've invested a lot in your ACE program, quite a bit over the years, and your heart and soul are in that, and you have mentored the next generation beautifully. But now you have to step aside. The next generation may have different ideas or may take it in a slightly different way, or may do things that you never even thought about. So, part of what a mentor has to do I would imagine, is also take a deep breath and know that you've done the best job you can. But then step aside and maybe your job now is to be at the back of that flock of geese and keep honking as the program moves forward under a new leader and a new director.   Robin: Excellent. Yes, and that's very fun. I have great confidence and hope, and in a couple of weeks Alison and I are meeting for coffee, and I want to sit back and just hear all about the things that she's creating.   Janet: That's wonderful. You are indeed a wonderful mentor, Robin, you've been a great mentor to me over the years, sometimes you knew it, sometimes you didn't, as a result of the conversations we've had, and through the different projects that we've done over the years. Let me turn to a slightly different topic now. We've mentioned this a couple of times already, that for many years you worked with Sandy Glista, who is a dear friend to both of us. I believe that being honored through this award, receiving the “Sandy”, it must bring warm thoughts of your days working together. Please tell our listeners about how Sandy's friendship and collegiality have influenced you during your career.   Robin: I would say in the beginning, which would be the late 1990s, I'd say Sandy initially was a mentor, the kind of mentor that many people spoke about. In this regard, she was a connector, she connected people together. Well, she connected me to you, Janet, when you and myself and Ellen and Glenn did a project years ago on Cybersafety for people with aphasia. I was doing homecare and Sandy was working on a project with keeping elders communicating. She invited me to be involved in this project and start having some Western students intern with me. Then she invited me to do a presentation on a topic she was starting out investigating, interprofessional education, which was a new thing. We were in a college, and we had OT and social work and all the different disciplines together. They did a presentation, I brought in my team, my home care, OT PT, social work team, and we proudly presented a case. It was after that, that she was going to be going on sabbatical and she asked me if I would take her place in working with people with aphasia at Western, and that's when I began actually working at Western, in 2002. Once she came back, we started talking, and creating and planning this new version of an aphasia program and for a couple of decades, we were collaborative partners. We would add to each other, fit to each other, enjoy being together, and have a wonderful creative experience, creating these ideas that we had and seeing them happen. If we did anything such as write something or present something, it was always Sandy Glista and Robin Pollens, or Robin Pollens and Sandy Glista, whether they were even present or not, because the ideas germinated from both of us. So, if you ever have the opportunity to have a work relationship like that, it's a real gift.   Janet: Our listeners can hear, I hope, the joy in your voice, as you're talking about that relationship you had with Sandy. I know that was a very special relationship for the two of you. I can see because I'm looking at your face right now, I can see the joy in your face. Recalling the close times and close work that you and Sandy had together, I'm sure that there were some disagreements or seeing things from different perspectives, but your last statement saying that it was a wonderful working relationship and you you'd like to see everyone have that kind of close, creative relationship, is admirable. So, thank you for that insight. Robin. I'm also wondering who were some of the mentors that you and Sandy drew upon? Robin: When Sandy went on sabbatical, she visited national and international aphasia centers, and she brought back the inspiration and the sense of community that she experienced there. I was reading the World Health Organization ICF with its impairment, activity, and participation parameters, and I could envision how we could use this concept to create goals for clients, and to create participation groups where clients could work on their impairment-based goals in the context of an activity of choice. Sandy and I studied relationship centered care, which came out of the Fetzer Institute here in Kalamazoo, and we envisioned a program where family members or care partners were part of the mission of a program. Finally, in our collaboration, we created a sequential way to educate the students through the semester to be able to provide this type of SLP treatment. On the first page of the article we published in 2007, you'll see a long list of people who inspired us. Those were ACE program mentors and as ACE continued, Elizabeth Nadler, Marie Koss-Ryan and Suma Devanga added their creativity supervisors. And I would add that once Aphasia Access was formed, there were many people in Aphasia Access, who became our collaborative mentors. So, thank you to everyone.   Janet: Robin, you said something about interprofessional education and interprofessional practice, and it kind of got lost in a sentence, and I'd like to circle back to that and acknowledge that you and Sandy were visionaries in this area. Nobody else was talking about interprofessional practice, or publishing about it, or making it happen. You and Sandy were at the forefront of that.  I remember those papers that you wrote, talking about the value that each one of the rehab professionals could bring to the treatment of the patient and how they we can all reinforce the goals for the patient, the various goals. So, we all owe you a debt of thanks for that, as well.   Robin: I didn't realize that was that different. I just realized that we had the opportunity since we were at Western and there were the other professionals there, that each semester, we ended up creatively finding ways to coordinate with OT, or bring in a social worker or whatever it was. I have enjoyed watching the growth of this area of interprofessional over the last years and seeing how it's appreciated.   Janet: I think it's very important. A previous Aphasia Access Podcast, #84, was with Mary Purdy, who talked about interprofessional collaboration and related a specific story where she and a physical therapist work together to achieve the particular goal of one of their clients. Another podcast, #78, with Michelle Gravier, Albert Mendoza, and Jennifer Sherwood described an interprofessional exercise program. I'm so glad that there is a greater appreciation for interprofessional education and interprofessional practice these days. So, Robin, as we bring this conversation to a close with thoughts, or as I like to call them Monday Morning Practices, do you have ideas that you could share with our listeners, things that they might either think about in the long term, or that they might do on Monday morning when they see their clients?   Robin: Well, I almost feel teary as I'm answering this, but I'm going to work through this teariness. I'm thinking about beginnings. And I'm thinking about endings. And so, I'm thinking about making sure that in the beginning, if someone's in the hospital and has new stroke or new aphasia, whatever it is, that you are giving them hope, as described as important in the article way back by Avent, Glista and others, and I can't talk without giving a story, Janet. I'm remembering in homecare, seeing a new patient with severe aphasia, not much talking. The wife left the room while I was in the session, and I noticed a deer's head on the wall. So, I took out a piece of paper and I wrote down some written word choices, you know, baking, gardening, hunting, whatever. I said, “Tell me, I want to learn about you.” And he pointed to hunting, so we ended up having the whole conversation using supportive communication strategies and written words. At the end of the almost hour, his wife came in the room, and I said to her, “Oh, I just was hearing about the time that he and his brothers went up hunting up by Lake Michigan, and they had that rainstorm, and then the roof was leaking.” She looked at me and said, “How did he tell you that?” So, I took out the piece of paper, and I showed her our conversation, basically, with words and drawings. He had already gone through acute care, and inpatient rehab so I said to her, “Didn't anybody show you this along the way?” And she said, “No.” So that's one of the messages that I often like to express - the importance in the beginning of giving the family a method to be able to communicate because that's a way of giving hope. I can also quote another colleague of mine, Marie Koss-Ryan, who did some acute care pretty recently: same thing - she went in the room, new stroke, new severe aphasia. He was trying to read his menu to order breakfast and couldn't do it. So, she took out her iPad, pulled up a page of juices, and said,” What kind of juice do you like?” and he pointed to tomato juice. A little while later the tray came and then his wife came for the day visit and she saw the tomato juice, and she burst into tears? Marie asked what was wrong, and she said, “How did somebody know he drinks tomato juice every morning for breakfast.” She took out her iPad and showed her how you can pull up pictures. To me that's giving hope through a way to communicate. So that's the piece from the beginning. And I can't help but mention just briefly, to also remember if you are working in palliative care and end of life care, to also show up as a speech-language pathologist that can help people to be able to communicate as best as they can, even if it is at the end of their life.   Janet: Those are, are very important points, I think, to start us off to remember the power of communication. And then also to know that there are lots of messages people wish to convey towards the end of their lives. How can we help them convey those messages? Robin, this has been an amazing conversation. And I know that you and I will have many more opportunities to talk to each other. I just wish we had many more days right now to listen to the stories and share the thinking and the insights and the bits of mentorship we have received from each other and from people in our clinical worlds. So, thank you so much for speaking with me today. I am proud to call you my friend and my colleague, and again, congratulations on receiving the Sandra O. Glista Excellence in Mentoring award. I know Robin, that when I asked you to be interviewed for this podcast, you were initially reluctant, as is your style. I'm so glad that you finally agreed because the messages that I'm hearing in our chat today, they're far beyond you and me. They're about the power, the transformative power, of mentoring, no matter who you are, or who you mentor. So, I thank you, and on behalf of Aphasia Access, I want you to know how humbled I am by your long-standing commitment to mentoring. I believe that even though you are retired from Western Michigan University, you have many future mentees that will also be humbled by your long-standing commitment to aphasia, to people with aphasia, to their care partners, and to mentoring.   Robin: Thank you, Janet. Thank you very much. And I guess I will say this ended up being a gift that you gave me to be able to do this. I mean, we should all do it for each other to give them a chance to reminisce and tell their story and get perspective and life. So, thank you.   Janet: You are more than welcome, Robin. I would also like to thank our listeners for supporting Aphasia Access Conversations by listening to our podcasts. For references and resources mentioned in today's show please see our Show Notes. They are available on our website, www.aphasiaaccess.org. There, you can also become a member of our organization, browse our growing library of materials and find out about the Aphasia Access Academy. If you have an idea for a future podcast episode, please email us at info@aphasiaaccess.org. For Aphasia Access Conversations, and again thanking you Robin Pollens, I am Janet Patterson and I thank you all for your ongoing support of Aphasia Access.                           To engage in further conversation about mentoring, Robin can be reached at robinpollensslp@gmail.com     Reference List APPENDIX B: Rancho Los Amigos Scale-Revised. (2011). Continuum (Minneapolis, Minn.), 17(3 Neurorehabilitation), 646–648. https://doi.org/10.1212/01.CON.0000399079.30556.03   Avent, J., Glista, S., Wallace, S., Jackson, J., Nishioka, J., & Yip, W. (2005). Family information needs about aphasia. Aphasiology, 19(3–5), 365–375. https://doi.org/10.1080/02687030444000813   Glista, S.O. & Pollens, R.D. (2007).  Educating clinicians for meaningful, relevant, and purposeful aphasia group therapy. Topics in Language Disorders 27(4), 351-371. https://doi.org/10.1097/01.TLD.0000299889.62358.6f   Pollens R. (2003). Home care. Hom Healthcare Nurse, 21(5), 348. https://doi.org/10.1097/00004045-200305000-00015   Pollens, R.D. (2020). Facilitating client ability to communicate in palliative end-of-life care: Impact of speech–language pathologists. Topics in Language Disorders 40(3), 264-277. https://doi.org/10.1097/TLD.0000000000000220     URL The Art of Mentoring    https://artofmentoring.net/what-is-mentoring/   Aphasia Communication Enhancement Program, Western Michigan University https://wmich.edu/unifiedclinics/vanriper/aphasia   Fetzer Institute       https://fetzer.org/   Aphasia Access Podcast Conversation #84 Interprofessional Practice and Interprofessional Education: In Conversation with Mary Purdy https://aphasiaaccess.libsyn.com/interprofessional-practice-and-interprofessional-education-in-conversation-with-mary-purdy   Aphasia Access Podcast Conversation #78 A Llama, a Resistance Band, and Neil Diamond Walk Into a Bar - An Interprofessional Exercise Program for Individuals with Aphasia: A Conversation with Michelle Gravier, Albert Mendoza, and Jennifer Sherwood       https://aphasiaaccess.libsyn.com/a-llama-a-resistance-band-and-neil-diamond-walk-into-a-bar-an-interprofessional-exercise-program-for-individuals-with-aphasia-a-conversation-with-michelle-gravier-albert-mendoza-and-jennifer-sherwood

In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN, welcomes Ginger Hultin, MS, RDN, CSO, our new host for 2024. They reflect on past episodes and dissect pearls of wisdom shared by our guests. Mary and Ginger also discuss emerging trends in the wellness and nutrition space and share predictions for what everyone will be talking about in 2024. Plus, they'll share personal goals and resolutions for the year ahead. In this episode, we'll cover: 00:00 Introduction and Welcoming the New Host00:22 Reflecting on Past Podcast Experiences01:47 The Importance of Nutrition in Healthcare02:16 Personal Connections and Career Journeys03:38 The Power of Accountability in Behavior Change04:42 Looking Back at Favorite Episodes and Guests06:00 Exploring the Role of Nutrition in Disease Prevention07:56 The Importance of Mental Fitness and Wellness11:19 The Role of Nutrition in Hormonal Health18:32 The Future of Nutrition and Wellness Trends31:21 Personal Goals and Paths for the New Year For a transcript of this episode and more information about The Good Clean Nutrition Podcast, please visit: https://healthcare.orgain.com/podcast Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN, speaks with Dr. Drew Ramsey, MD, who is a psychiatrist, author, professor and organic farmer. Dr. Ramsey is a clear voice in the mental health conversation and one of psychiatry's leading proponents of using nutritional interventions. Tune in as they discuss how nutrition can support mental health. In this episode we’ll cover: (11:05) Defining mental fitness (17:36) Foods to support mental health (27:41) Addressing mental health issues like depression through diet (38:18) Understanding supplements for mental health Dr. Drew Ramsey, a nutritional psychiatrist, author, professor and organic farmer. Dr. Ramsey is a clear voice in the mental health conversation and one of psychiatry's leading proponents of using nutritional interventions. He founded the Brain Food Clinic in New York City, offering treatment and consultation for depression, anxiety and emotional wellness concerns. The clinic incorporates evidence-based nutrition and integrative psychiatry treatments with psychotherapy, coaching, and responsible medication management. Using the latest in brain science, nutrition and mental health research, and an array of delicious food, the clinic helps people improve their mental health and mental fitness. His team offered the first Nutritional Psychiatry Clinician Training Program helping hundreds of mental health clinicians learn the evidence and clinical methods to effectively use nutrition. He has also authored four books on food and mental health and is an assistant clinical professor of psychiatry at Columbia University College of Physicians and Surgeons. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit: http://healthcare.orgain.com/podcast/episodes/listen/season/3/episode/32. Be sure to subscribe to this podcast so you never miss a new episode! Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN, speaks with Kelly Jones, MS, RD, CSSD, LDN, who is a board-certified specialist in sports dietetics, and owner of both Kelly Jones Nutrition and Student Athlete Nutrition. Kelly has created medical fitness programs for internationally recognized fitness clubs and consults with national sports organizations, including Major League Baseball, USA Swimming and New York Road Runners. Tune in as they discuss strength training and nutrition to help women achieve their health & fitness goals. In this episode we’ll cover: (3:30) How Kelly became interested in sports nutrition + performance (6:52) Importance of building a fitness routine (10:38) Breaking down different types of strength training (19:14) Nutrition to support strength training goals (36:00) Dietary supplement dos and don’ts Kelly Jones, MS, RD, CSSD, LDN, is a board-certified specialist in sports dietetics, and owner of both Kelly Jones Nutrition and Student Athlete Nutrition. Kelly began her career as an associate professor of nutrition and exercise physiology, while building her performance nutrition business and gaining notoriety in the media busting myths and showcasing the ease of incorporating nutrient dense foods and food products into busy, active lifestyles. Kelly has created medical fitness programs for internationally recognized fitness clubs and consults with national sports organizations, including Major League Baseball, USA Swimming and New York Road Runners. As a board-certified sports dietitian, mom of two young boys, and former division I athlete who still loves to compete in races and weight train, Kelly understands the need to implement positive nutrition habits in practical and personalized ways. Kelly is also a valued member of Orgain’s Nutrition Advisory Board. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit: http://healthcare.orgain.com/podcast/episodes/listen/season/3/episode/31. Be sure to subscribe to this podcast so you never miss a new episode! Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN, speaks with Dr. Yami Cazorla-Lancaster, DO, MPH, MA, FAAP, a pediatrician, health coach, author and speaker who champions a plant-based nutrition lifestyle. Tune in as they explore nutrition for children from fostering a healthy relationship with food, to creating good habits, to plant-forward eating. In this episode we'll cover: (5:44) Biggest Health Challenges Kids Face Today (7:55) Dr. Yami's 5 Pillars of Healthy Eating (12:22) How to Talk to Kids About Nutrition (19:00) Plant-Based Eating for Kids Dr. Yami Cazorla-Lancaster, DO, MPH, MA, FAAP is a board-certified pediatrician, author of A Parent's Guide to Intuitive Eating: How to Raise Kids Who Love to Eat Healthy, host of the Veggie Doctor Radio Podcast, and champion of plant-based nutrition for the prevention of chronic disease. She provides a fresh approach to feeding children - beginning at pregnancy and continuing through the teen years. As a pediatrician, mother, and health coach Dr. Yami aims to reassure, support and guide parents by teaching the principles of intuitive eating for children. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit: http://healthcare.orgain.com/podcast/episodes/listen/season/3/episode/30. Be sure to subscribe to this podcast so you never miss a new episode! Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN, speaks with Doctor and Chef Robert E. Graham, MD, who is a Harvard-trained researcher, physician, food activist and chef, to discuss the “Food As Medicine” approach. Tune in as they take a deeper dive into the role food can play in helping patients improve their health to live happier, more fulfilling lives. In this episode we'll cover: (9:36) Defining “Food As Medicine” (20:55) How Food As Medicine Approach Can Help Prevent and Reverse Disease and Illness (23:51) The Impact of Processed Foods (25:30) The Importance of Aligning Food Recommendations to Food Subsidies Chef Robert E. Graham, MD, MPH is a Harvard-trained researcher, physician, food activist and chef. He is board certified in both Internal and Integrative Medicine and trained in Holistic and Functional Medicine. Dr. Graham, also known as Dr. Rob the Chef, became one of less than fifty doctor/chef's worldwide, as he obtained his culinary degree from the Natural Gourmet Institute. Dr. Graham and his wife founded FRESH Medicine and FRESH Med U., which is an integrative health and wellness center located in NYC. Dr. Graham prescribes food for health and healing and has witnessed many patients get off their medications and live happier, more fulfilling lives. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit: http://healthcare.orgain.com/podcast/episodes/listen/season/3/episode/29. Be sure to subscribe to this podcast so you never miss a new episode! Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN, speaks with Dr. Taniqua Miller, MD, FACOG, NCMP, a board-certified OB/GYN and national certified menopause practitioner, to discuss how women can improve their health and quality of life during menopause. Tune in as they take a deeper dive into menopause, and how to empower and support women and those assigned female at birth who are preparing for, or navigating, the mid-life health journey. In this episode we'll cover: (5:55) Perimenopause vs. Menopause (11:11) Symptoms of Menopause in Women of Color (13:35) Diet & Lifestyle Factors that Put Women at Higher Risk for Symptoms of Menopause (18:34) Strategies to Support Women in Mid-life (30:28) Hormone Replacement Therapy (35:18) Sexual Wellbeing Through Menopause Dr. Taniqua Miller is a board-certified OB/GYN and national certified menopause practitioner. Dr. Miller trained in psychology at Yale University and then earned her medical degree from Harvard Medical school. Dr. Miller has spent her career empowering women over 40 to live a Boundless Midlife. She is based in Atlanta, GA, and has been recognized for her exceptional care by Atlanta magazine's Top Docs recognition and Emory School of Medicine Educator's Award. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit: http://healthcare.orgain.com/podcast/episodes/listen/season/3/episode/28. Be sure to subscribe to this podcast so you never miss a new episode! Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN, speaks with Dr. Emeran Mayer, one of the foremost experts on the gut-brain-immune connection, to discuss how to harness the power of the mind-gut connection to take charge of our health. Tune in as they breakdown how the mind-gut connection affects mental health, immune function, along with diet & lifestyle changes to help balance the gut to improve full-body health. In this episode we'll cover: (4:47) How the mind-gut connection affects mental health (11:01) Impact of non-communicable diseases on the gut & how to resolve through diet (17:18) Immune function & it's response to infectious diseases (21:05) How to balance the gut through lifestyle + diet Dr. Emeran Mayer is an award-winning gastroenterologist and neuroscientist, and is considered a pioneer and world leader in the areas of gut-brain axis interactions, chronic visceral pain, and functional gastrointestinal disorders. He has published over 400 scientific papers and is the author of the books The Mind Gut Connection and The Gut Immune Connection. Dr. Mayer is a Distinguished Research Professor in the Departments of Medicine, Physiology and Psychiatry at the David Geffen School of Medicine at UCLA, Executive Director of the G. Oppenheimer Center for Neurobiology of Stress and Resilience and Founding Director of the UCLA Brain Gut Microbiome Center. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit: http://healthcare.orgain.com/podcast/episodes/listen/season/3/episode/27. Be sure to subscribe to this podcast so you never miss a new episode! Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

What if the key to a healthy life lies within the soil beneath our feet? A conversation with Mary Purdy, eco dietician and nutrition and sustainability advisor for Big Bold Health, about the flour business, what it has to do with our gut health, the cousin of buckwheat and much more. Discover how food is medicine and why we must consider soil and farming practices in our quest for well-being.Mary shares her journey into this space and reveals the fascinating link between the human gut microbiome, soil microbiome, and plant immunity. Together, we explore the potential of regenerative agriculture and its impact on both human health and our planet. Learn about Mary's mission to reduce chronic diseases, healthcare costs, and the importance of supporting BIPOC farmers who have been stewarding the land for centuries.As we navigate the challenges faced by chefs, food service directors, and procurement teams in embracing local, nutrient-dense ingredients, we'll also discuss the friction within the dietetics community around sustainability definitions and the impact of agrochemicals on human health and the environment. ---------------------------------------------------Join our Gumroad community, discover the tiers and benefits on www.gumroad.com/investinginregenag. Support our work:Share itGive a 5-star ratingBuy us a coffee… or a meal! www.Ko-fi.com/regenerativeagriculture----------------------------------------------------More about this episode on https://investinginregenerativeagriculture.com/mary-purdy.Find our video course on https://investinginregenerativeagriculture.com/course.----------------------------------------------------The above references an opinion and is for information and educational purposes only. It is not intended to be investment advice. Seek a duly licensed professional for investment advice.https://groundswellag.com/2023-speakers/ Support the showFeedback, ideas, suggestions? - Twitter @KoenvanSeijen - Get in touch www.investinginregenerativeagriculture.comJoin our newsletter on www.eepurl.com/cxU33P! Support the showThanks for listening and sharing!

In this episode of the Power of Genetics podcast, host Dr. Yael Joffe interviews Mary Purdy, an eco-dietitian who focuses on the intersection of human health, food systems, and environmental degradation. Purdy discussed her transition from a clinical dietitian to a sustainability advocate, motivated by the effects of climate change on health and the environment. They discuss the importance of understanding and incorporating elements of sustainability, social science, and environmental influence into healthcare.     Purdy highlights the value of authenticity and human connection in her profession and emphasizes the role of education on sustainability in nutrition and human health. She discusses the significance of the environment, community, and food in influencing gene expression and overall well-being, explaining how our connection to nature, exposure to different environments, and engagement with the food we eat all have a direct impact on our genetic pathways.       Topic Points:  Mary Purdy's Role Shift: Her journey from clinical dietitian to eco-dietitian due to climate change's impacts on health and environment.  Health, Food, and Environment: The mutual influence of human health, food systems, and environmental degradation.  Authenticity and Education in Healthcare: The importance of authenticity, human connection, and sustainability education in healthcare.  Environment's Effect on Gene Expression: The influence of environment, community, and food on our genetic pathways and overall well-being.  Eco-Dietitian's Role: Purdy's educational efforts on sustainable food systems and food justice, along with available resources.  Purdy's Advice to Health Professionals: Her emphasis on curiosity, appreciating past experiences, and the power of collaboration. 

Eating disorders in men are considered underdiagnosed and undertreated, and stigma around male body image can prevent men from opening up about feelings of body shame. In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN speaks with Aaron Flores, registered dietitian and Certified Body Trust Provider, to discuss men's health and nutrition from a non-diet approach. This Men's Health Month, tune in as they discuss how men can improve their relationships with food, the impacts of weight stigma on men's health, and how to engage in physical movement that supports body trust. In this episode we'll cover: (5:20) Health at Every Size & Body Trust concept (14:40) Top nutrition issues men face today (28:24) How to improve your relationship with food & body (31:40) Physical movement that supports body trust (34:52) Men Unscripted Podcast Aaron Flores is a registered dietitian, nutritionist and Certified Body Trust Provider. Aaron has over 10 years of experience working with clients, providing one-to-one and group support. He offers a weight inclusive, non-diet approach to help clients end body shame, develop kinder, more compassionate behaviors, and heal the relationship with food. Aaron is also the host of the Men Unscripted Podcast, which is a series of anonymous conversations with men about their experiences with being in their body. He earned his Bachelor of Science in Family Consumer Sciences from California State University Northridge. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit: http://healthcare.orgain.com/podcast/episodes/listen/season/3/episode/26. Be sure to subscribe to this podcast so you never miss a new episode! Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

Hormonal health can be impacted by a variety of factors, such as stress, sleep, exercise and diet. In this episode, Melissa Groves Azzaro, RDN, LD, also known as “The Hormone Dietitian,” and host Mary Purdy, MS, RDN dive into root causes of hormone imbalances and share diet and lifestyle tips to help restore hormone balance. In this episode we'll cover: (3:13) The role of hormones in women's health (5:46) Types of hormone imbalances (7:10) How to tell if an issue is related to hormones (10:07) Root causes of hormone imbalance, such as hormone disrupting chemicals (23:10) Diet & lifestyle tips for hormone balance (33:09) Functional hormone testing (37:36) Importance of sleep Melissa Groves Azzaro is an award-winning integrative and functional registered dietitian and owner of The Hormone Dietitian, a virtual private practice specializing in women's health and hormone issues. In her private practice, she uses a functional medicine, food-first approach that combines holistic lifestyle changes with evidence-based medicine. She is the host of the podcast Hormonally Yours with The Hormone Dietitian and author of the cookbook, A Balanced Approach to PCOS. She earned her Bachelor of Science in Nutrition/Dietetics from The University of New Hampshire. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit http://healthcare.orgain.com/podcast/episodes/listen/season/3/episode/25. Be sure to subscribe to this podcast so you never miss a new episode! Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

Reducing your food waste can help you eat healthier, save money, and support the Earth. Listen in as national food waste expert Dana Gunders and host Mary Purdy, MS, RDN discuss mindset shifts and share actionable strategies to help you reduce how much food you throw away. In this episode we'll cover: (5:09) Why we should be concerned about food waste (8:20) Root causes of food waste (12:14) Mindset shifts & strategies to help you reduce your food waste (24:49) Thoughts on convenience foods & meal delivery kits (31:09) How larger institutions can reduce their food waste Dana Gunders is a national expert on food systems and is the Executive Director of ReFED, a nonprofit working to reduce food loss and waste. She received her bachelor's degree in earth systems and master's in sustainable business practices from Stanford University. Named “the woman who helped start the waste-free movement” by Consumer Reports, Gunders is the author of the landmark report “Wasted: How America Is Losing Up to 40 Percent of Its Food from Farm to Fork to Landfill.” She is also the author of the Waste-Free Kitchen Handbook. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit http://healthcare.orgain.com/podcast/episodes/listen/season/3/episode/24. Be sure to subscribe to this podcast so you never miss a new episode! Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

Take our survey to inform future episodes of this podcast: https://www.surveymonkey.com/r/8CG3NL2. This National Nutrition Month, registered dietitians Maya Feller, MS, RD, CDN and our host Mary Purdy, MS, RDN discuss today's top nutrition trends, what it means to eat “healthy” and their thoughts on this month's theme, “Fuel for the Future.” In this episode we'll cover: (3:32) Maya's journey to becoming a registered dietitian (6:54) Thoughts on today's top nutrition trends (10:33) What it means to eat “healthy” (and how to talk about it with patients) (16:45) Connecting to your culture of eating and food (22:10) Discussing “Fuel for the Future” and advocating for planetary health (32:19) Maya's new cookbook, Eating From Our Roots Maya Feller, MS, RD, CDN, of Brooklyn-based Maya Feller Nutrition is a nationally recognized registered dietitian nutritionist. She received her Master of Science in Clinical Nutrition at New York University. Maya shares her approachable, real-food-based solutions through regular speaking engagements, writing in local and national publications, and as a nutrition expert on Good Morning America. Maya is also the author of two cookbooks, including her newly released cookbook, Eating From Our Roots. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit http://healthcare.orgain.com/podcast/episodes/listen/season/3/episode/23. Be sure to subscribe to this podcast so you never miss a new episode! Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

Purdy is also the host of The Good Clean Nutrition Podcast.

We want to hear from you! Take our survey to inform future episodes of this podcast: https://www.surveymonkey.com/r/8CG3NL2. Listen in as Memorial Sloan Kettering oncology dietitian Cara Anselmo, MS, RDN, CDN and host Mary Purdy, MS, RDN share advice for people newly diagnosed with cancer, plus nutrition recommendations and tips to help manage side effects of treatment. In this episode we'll cover: (3:07) Cara's path to becoming an oncology dietitian (4:39) Advice for people newly diagnosed with cancer (8:17) Steps to optimize nutrition after a cancer diagnosis (12:14) Managing side effects of cancer treatments (17:38) Unexpected weight gain during cancer treatment (21:42) Addressing the complexity of nutrition data (23:50) Debunking myths about soy (30:42) Top nutrition and lifestyle tips for people with cancer Cara Anselmo, MS, RDN, CDN is a Registered Dietitian Nutritionist specializing in oncology nutrition and is currently on staff at Memorial Sloan Kettering Cancer Center. Cara earned her Master of Science in Clinical Nutrition from New York University and her Bachelor of Arts degree in English from Brown University. She has over 15 years of experience working with patients and clients in a variety of settings, including seeing patients and clients privately, and is also a certified yoga teacher (CYT-200). For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit http://healthcare.orgain.com/podcast/episodes/listen/season/3/episode/22. Be sure to subscribe to this podcast so you never miss a new episode! Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

We want to hear from you! Take our survey to inform future episodes of this podcast: https://www.surveymonkey.com/r/8CG3NL2. When setting health goals, mindfulness is a tool that can help make them more achievable. Host Mary Purdy, MS, RDN and internal medicine physician and meditation instructor Dr. Jill Wener discuss strategies for mindful goal-setting and the health benefits of meditation. At the end, Dr. Wener takes listeners through a guided self-compassion practice that you won't want to miss! In this episode we'll cover: [1:50] Jill's journey from practicing physician to meditation instructor [3:52] Why people struggle to set realistic health goals [5:47] How self-compassion fits into goal-setting [8:03] Getting started with setting a goal [11:28] About the Emotional Freedom Technique (EFT), also known as “tapping” [13:47] Research-backed benefits of meditation & client stories from Jill [18:05] Difference between meditation and mindfulness [21:54] How practitioners can share meditation with patients or clients [24:05] Guided self-compassion exercise Jill Wener, MD is an internal medicine physician and Conscious Health Meditation Instructor. Dr. Wener completed her medical training at Emory University School of Medicine and meditation training in Rishikesh, India. In addition to her online and in-person meditation courses, Jill leads meditation retreats all over the world. She is also the co-creator of the Conscious Anti-Racism training programs, in which she combines her insights from her own anti-racism journey with her mind-body expertise and 10 years of experience practicing medicine. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit http://healthcare.orgain.com/podcast/episodes/listen/season/3/episode/21. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

Welcome to this Aphasia Access Aphasia Conversations Podcast. My name is Janet Patterson. I am a Research Speech-Language Pathologist at the VA Northern California Healthcare System in Martinez, California, and a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their efforts in engaging with persons with aphasia and their families through a variety of educational materials and resources. I am today's host for today's episode that will feature Dr. Nina Simmons-Mackie and Dr. Jamie Azios. These Show Notes accompany the conversation with Dr. Simmons-Mackie and Dr. Azios but are not a verbatim transcript.         In today's episode you will learn about: Lache Pas La Patate! and aphasia The importance of being mindful of gap areas in aphasia service and research Moving aphasia care best practices from knowledge to action Dr. Janet Patterson: Welcome to our listeners. Today I am delighted to be speaking with two individuals who are well known in the field of aphasia rehabilitation, Dr. Nina Simmons-Mackie and Dr. Jamie Azios. Nina and Jamie authored the text, Aphasia in North America, which is also known as the State of Aphasia Report. The original State of Aphasia Report was published by Aphasia Access in 2018, and contains information describing, among other topics, the frequency and demographics of aphasia and its impact on individuals and society, and aphasia services and service gaps. The State of Aphasia Report is a valuable resource for clinicians, researchers, administrators, and third-party funding agencies as we seek to craft a rehabilitation atmosphere that balances the treatment evidence base, the resource support for community aphasia groups, and the principles of client centered care. An updated State of Aphasia Report is forthcoming.   Each of our Podcasts in 2021 and 2022 highlighted at least one of the gap areas in aphasia care mentioned in the original State of Aphasia Report. For more information on the original State of Aphasia report, check out Podcast Episode #62 with Dr. Liz Hoover, as she describes these ten gap areas and their impact on aphasia rehabilitation. Our conversation today takes a broader view of the aphasia service gaps, crossing all ten gap areas. My questions for Nina and Jamie will ask them to reflect on the impetus for the original State of Aphasia Report, as well as the changes that appear in the updated State of Aphasia Report.   My first guest is Dr. Nina Simmons-Mackie, Professor Emeritus at Southeastern Louisiana University in Hammond, Louisiana. She has received the honors of the American Speech-Language-Hearing Association, the Louisiana Speech-Language-Hearing Association, and the Academy of Neurologic Communication Disorders and Sciences. She has published numerous articles and chapters and has had many years of clinical, academic and research experience in the area of adult aphasia. Also joining me today is Dr. Jamie H. Azios. She is the Doris B. Hawthorne Endowed Chair in the Department of Communicative Disorders at the University of Louisiana in Lafayette. Her research interests include qualitative research methodologies, understanding perspectives of people living with communication disabilities, co-constructed conversation and aphasia, and the impact of communicative environments on social participation and inclusion. She has published articles related to client centeredness, communication access, and life participation approaches to aphasia. Welcome Nina and Jamie to Aphasia Access Conversations and our discussion about the State of Aphasia Reports.   Dr. Nina Simmons-Mackie: Thanks Janet, happy to be here.   Dr. Jamie Azios: Really excited and honored to be here. Thanks for having us.   Janet: Good, and I look forward to a great discussion and learning about the State of Aphasia Reports. Nina and Jamie, I would like to begin our chat today by asking about the original State of Aphasia Report. Many of our listeners are familiar with the book, which is a resource published by aphasia access, describing the social, financial and life quality consequences of aphasia. It contains current statistics, compelling stories, and a one-stop report to understand the state of aphasia care in North America. Nina, you were the impetus for this project and oversaw its production. How did you organize a team to think about the need for this project and envision the value it could provide to people with aphasia, clinicians, medical and rehabilitation professionals interested in aphasia, administrators, and organizations who fund aphasia research?   Nina: Well Janet, when I started out in the field of aphasia, it wasn't all that difficult to review the literature on an aspect of aphasia. Now, the amount of information is just overwhelming. A kernel of an idea started forming as I was involved in a variety of projects that required a huge amount of effort gathering statistics and references to justify different types of services for aphasia. As I talked to lots of colleagues floating the idea for a comprehensive report, everybody agreed that it would be immensely helpful to pull data from diverse sources into one document. Something that could be a quick reference for grants or advocacy or program proposals.   I also had some personal experiences at the time that highlighted some gaps in the system of care for aphasia. So, it really struck me as a worthwhile undertaking and the board of Aphasia Access was really supportive of the idea. We succeeded in pulling together a diverse team of experts to serve on an advisory committee to review the chapters and vet the information. The report was originally envisioned as a relatively brief statement of gaps, but as I got into the literature, I realized that it was too much for just a short paper. In fact, it turned into 163 pages in the original document published in 2018. Now, it's been about five years since this publication, and so much has happened in the aphasia world. So, we felt like it was time for an update. Next year, we hope the state of aphasia will be published. Jamie graciously agreed to join me in this project, researching and writing the updated report. Jamie, you might have some comments on the update.   Jamie: Yeah, it's been so fun to work on this project with Nina. I've learned a lot from reviewing all the work in our field, and other fields too. Just getting my feet wet with the kind of experiences that Nina was talking about, pulling together this key information from so many places. It's been really challenging, but it's also been really rewarding.   I didn't realize just how much has changed in the last five years. There're just some amazing things happening in terms of aphasia programming, and technology, and attempts at overcoming gaps and equity and inclusion. That's not even talking about the way stroke and aphasia care has been impacted by our worldwide pandemic. So, in terms of what's new for the update, you can expect us to hit on all those new key areas. We're really going to try to highlight both the gaps and solutions over the last five years.   Janet: You both describe such an exciting project. Time flies, and things happen. And if you get busy in your own little world, sometimes you don't recognize all the things that are going on around you and all the changes. This is a great idea that you had 100 years ago Nina or maybe five or six. I'm glad Jamie, you're part of the current project. One component of the original State of Aphasia in North America is a list of ten gap areas, and you mentioned those a moment ago Jamie, gap areas in aphasia care and aphasia research. In planning our podcasts, we identified at least one of these gap areas to highlight in each interview. The ten gap areas are listed in the show notes for this conversation and discussed in Aphasia Access Podcast Episode #62 with Dr. Liz Hoover. So, Nina and Jamie as well, how did your team identify the gap areas for the original State of Aphasia Report and consider the potential for their influence on aphasia care and research?   Nina: Well, really the gap areas grew directly out of the data. It was similar to a literature review. The main difference is that a typical literature review addresses a specific topic, whereas this report addressed any topic that might be useful to advocate for aphasia services. So, the sources included government statistics, some original surveys of clinicians in North America, and grey literature. Both Jamie and I have a background in qualitative research so our approach has been pretty much like qualitative research. We take a broad-based look at the literature and identify themes that seem like topics that would be important in advocating for aphasia services. And then as we dig in and begin collecting the information, the gap areas become fairly obvious. In other words, we don't just think up gap areas. They represent what is described in the aphasia literature.   Jamie: We mentioned this earlier, but one of the big gap areas that's going to be recognized in the update, likely because of the impact of COVID and our shifts to engaging more digitally, is the idea the inaccessibility that people with aphasia have when it comes to using technology. We know that there has always been a digital divide, but it seems like COVID, and the loss of face-to-face contact has really widened that gap. Also widening that gap is just the fact that older people in general are using technology more and people with aphasia seem to be falling behind when compared to their age-matched peers due to these accessibility issues. The data show that people with aphasia don't text as much as other people their age, they seem to have more difficulty retaining technology skills, they have difficulty using social media platforms. We know that these things are critical for maintaining social connection. So even before COVID, we saw an increasing use of technology to access information, interaction, across a range of activities. But during COVID, and even after COVID, there's an absolute explosion. We do plan to dedicate a chapter to technology and accessibility.   Janet: That's good, which leads me right into my next question for the two of you. I wonder if you would reflect on the original State of Aphasia Report and its contents and describe the changes in the information in the updated State of Aphasia Report? In particular, would you comment on the ten gap areas in the original report, and any changes in the updated report? I know you've alluded to a few of them in the last few minutes, but I'd like you if you will, take a few more minutes to be a little more specific about the nature of the gap areas, and how they're changing as we look forward to the updated State of Aphasia Report.   Nina: I think the original report definitely raised an awareness of the gaps and aphasia services. Those gap areas remain relevant, so it's not like we're going to drop out gap areas. But the good news is that there's been a surge in the research and the literature relative to some of those gaps. It's typical that there is a significant lag from research and publications to implementing research into actual daily practice. This is what's interesting relative to the update, looking at how those gaps have affected actual daily practice. I think there have been two Podcasts on implementation that aphasia access has presented. One was Rob Cavanaugh talking about issues in implementation back in October, and Natalie Douglas talked about implementation science in 2021. That's significant relative to the gaps and aphasia services that we've recognized. I'll give you an example. A very recent Podcast by Sameer Ashaie addressed mental health and people living with aphasia. Mental health services was a big gap identified in the original 2018 report. Now, as we've updated the report, we find that attention to mental health and daily aphasia practice continues to be a significant gap. Not many SLPs are screening for depression and mental health professionals remain relatively uninformed about how to conduct counseling with people with aphasia. But it's been said that approximately seven or eight years is often the time it takes to move from research to implementing research in daily practice. The good news is that the literature in the area of mental health, for example, has surged since the 2018 report. We found 47 new papers on mental health and aphasia published in just the past five years. That's a typical journey that we see from a gap in service to implementation of the services and awareness of the problem and recognition of the need to change have to happen first. I think we've met that requirement of building awareness of a lot of these gap areas.   Now, we have to focus on how to move from knowledge to action, meaning that SLPs and other health care professionals have to figure out how to address things like mental health in daily practice. I see the report as helping us see where we are on that road to best practices, and possibly pushing faster than the seven-to-eight-year gap in research to practice. Also, one of the gap areas was in SLPs addressing participation in daily practice. A very similar thing seems to have happened in that there's an increase in research in participation-oriented activities and therapy. But the actual practice, according to a survey that we've done recently shows that SLPs are about the same as they were in 2018, relative to actually integrating participation-oriented tasks into daily practices. I think it gives us an outline of where we have to move with this current report.   Jamie: Yes, and that makes me think of some of the work that I'm working on now for the updated version in communication access, which was also a gap area in the original version of the State of Aphasia Report. Something that's really struck me is that over the last five years, so far there's been 25 new communication partner training studies in healthcare settings. That includes training healthcare providers or healthcare students that are going to be working, mostly the studies are in hospitals. That's amazing, in the past five years that's a lot of work that's been done in that area.   But the other thing about that work is that has helped us learn more about the complexity of delivering an intervention like that within a health care system. A lot of the studies that have come out have also showed, by interviewing nurses and other health care staff that have been trained, that even after training healthcare providers still seem to have a really narrow understanding of what communication supports are, or there might be a burden for implementing those into their daily routine care tasks and other things that they're doing. In general, nurses have expressed more critical than positive views about the relevance and the usefulness of communication partner training. It seems like healthcare professionals know the strategies are good. They know they need to use the strategies, but then they kind of get stuck in a place of uncertainty about how to switch up when it doesn't quite go the way that they expect it to go in an interaction. I remember one of the quotes from a paper that talked about this was a nurse saying something like, “I went to use a strategy. I know it didn't work. The patient became increasingly frustrated, and I needed to use a different strategy, but I just didn't know what to do.” So, in thinking about moving forward, it's great that we see this work coming out, but it's a continued focus on shaping these programs and understanding the systems that maybe we need to approach it a little bit differently or make some adjustments so that we're really carrying through with the goal of the intervention and the outcomes are as we expect them to be and are positive.   Janet: This is exactly research into practice. Isn't what you just described, Jamie, much like all the human nature that we do? When we first learn something we're not so sure about it, and we don't quite know what to do when things don't go as we anticipate. The more familiar we become, the better we are at switching up as you say or changing or keeping our goal in mind, which is exactly what I'm hoping that we can talk about and the information in this updated State of Aphasia Report will help clinicians and researchers.   Nina, you mentioned two things that are something that I think about a lot and first of all, was your comment about the Podcast with Rob Cavanaugh. That was my Podcast with him, and we had a wonderful conversation. I love his ideas paying attention to, how do we actually deliver the service and are we doing what we think we are doing? And given the specific confines that we are working within, are we able to achieve the effect that we want, or do we have to make some changes? To me that seems like an important line of thinking and of research coming up about how we can make a difference given what we have or given whatever constraints we have.   The other comment that you made is about depression and mental illness. I think back to my Podcast with Rebecca Hunting-Pompon and some work that she's been doing, really looking at depression and the prevalence of it among people with aphasia, and it's greater than we think. So, your comment about identifying it as a gap area and what we're going to do. How are we going to take research into practice so that we can actually address those points that you're making. Which goes into my next question to ask you, as we look forward to the future of aphasia care, and specifically, as we move from research into practice, how might you see the information in the updated State of Aphasia Report and the gap areas that you'll identify within that publication? How do you see that continuing to guide aphasia care and research?   Nina: I think like the first report, the updated report will continue to raise awareness of major areas of need for people living with aphasia. I think it'll continue to serve as an advocacy tool. I know people have told me that they've pulled out parts of the original report to present to administration, and people have borrowed statistics to put into grants and things like that. So, I think those kinds of activities would continue. The report highlights areas where research is desperately needed. For example, there's a whole section on social isolation in aphasia, and we have data that's grown in the past five years verifying that this is a problem. This updated report shows that we haven't really seen very much in the way of intervention research or models for relevant interventions to address social isolation. I think as people read the report, they'll recognize areas where research is needed, and exactly where models need to look at practical ways to implement these different interventions. The report can highlight those kinds of questions so that researchers and clinicians can begin to address those questions in the next five years. It's just kind of a little push to keep the system moving along to be more efficient and more focused on addressing the needs of people living with aphasia.   Jamie: You know, another thing is, I think it's going to be good as Nina said, directing researchers and clinicians into maybe some practices that we need to make sure that we incorporate whenever we're thinking about what research is valuable, and what research is worth doing and the impact of that research on the people with aphasia. Something that's coming up as maybe a new gap area or continued gap area is the idea of stakeholder engaged research and including people with aphasia in that process. That was another Podcast that we just recently, I think, had in the last month or so. Something that Dr. Jackie Hinckley said that really struck me was that research that's produced in collaboration with stakeholders is efficient, even though it's more time consuming. That's because it has a better chance of making it into actual clinical practice. It can also be incorporated much quicker than research that's solely dictated by the interest of the researcher who likely doesn't have a full understanding of the barriers or the institutional problems that exist in a space. So, that's another idea of just thinking forward in ways that we hope that these gap areas are going to be addressed.   Janet: Both of you just in answering this last question and in things that you've said earlier, have touched upon the concept of how do you go from research to practice and most specifically, in the area of clinician work? It's lovely to say things, but how do you actually do it? How do you implement it? How do you get comfortable with a particular action and being able to change course, if that action is not working? I know it's important for aphasia clinicians and researchers to be mindful of the gap areas in aphasia care and to address them in their work, but that is a charge to us that is sometimes easier said than done. During our Aphasia Access Conversations, we've asked guests for their thoughts on how clinicians and researchers can implement actions in their daily activities to address a gap area. Importantly, we've asked our guests to consider actions that are easy to implement yet may have a broad impact on persons with aphasia or the family or the clinical environment.   I wonder if you would each share with our listeners some of your ideas and thoughts on how aphasia clinicians and researchers can remain mindful of the gap areas in the midst of their busy schedules, and feel comfortable incorporating specific actions? I see, and I know you see it as well, you get busy in a clinical life and all the daily activities, and you start to forget, “Oh yes, I should be mindful of the gap, but I forgot because I had a report to write.” So, I wonder if you could give us some very practical ideas, thinking from the perspective of a clinician and how they can bear in mind the gaps and how their actions might relate to them?   Nina: Well, one of the different things in the updated report from the original report is it will include solutions that are drawn from the research literature. But of course, the problem that you alluded to is much of our research is not always feasible in the whirlwind of everyday practices. I think the message for researchers that Jamie alluded to, is to make the interventions that are being trialed more practical by getting the input of stakeholders, of clinicians, of people with aphasia, to see if they're generalizable to everyday practice.   I think the biggest need is for all of us to remain aware of gap areas, so we're not just thinking about language, but thinking about mood, and family needs and daily lives. Awareness of gaps is the first step towards improving those services. One of the things we used to talk about a lot was long-term and short-term goals. The terminology now is sort of moving towards talking about aims and targets of therapy. Using that terminology, we need to be sure that the aims of therapy, that is the ultimate goals, are stated in terms of participation in chosen life roles or activities, not in terms of WAB scores, or how many words a person can name. In other words, the ultimate targets that are worked on in therapy need to lead to meaningful outcomes. To me, one of the most practical things is for us all to envision goal setting in a way that places us in the position of looking at what gets in the way of those big picture aims. It's not always just things like language problems. It may be other things like confidence, depression, poor support for partners, lack of opportunities to communicate with other people. So, thinking more broadly about those ultimate aims or goals for each person with aphasia helps us see what the most efficient targets are for therapy. If a big barrier is depression, then that needs to be addressed or improved, because word finding won't make any difference if the person is too depressed to engage with other people. I guess what I am saying is, being aware of gaps in services and of the domains that impact life with aphasia helps the clinician to orient to what is needed most for that person, rather than what we habitually just go in and do every day.   Another suggestion is to get help. Going back to the example of the mental health needs. Maybe investing initial energy in training some mental health professionals on your rehab team or in your community how to communicate with people with aphasia, and how to do that kind of specialized counseling that's needed for this population. Then, when somebody pops up and you feel that they're depressed, you have a resource there that you can refer the person with aphasia to, so that it doesn't fall on your own shoulders to manage the depression yourself. The same thing goes with using the rehab team to increase participation. So that whole idea of dividing and conquering. As I said, the updated report shows that SLPs don't focus that much on participation-oriented activities. But if the rehab team all identified a participation goal in unison, that interprofessional kind of approach, and then all worked together towards fulfillment of that aim or participation goal, then it takes a little of the burden off the SLP in their daily frenzy of activity.   Janet: You know, Nina, you gave an excellent example. Another good example and an illustration of that was in a conversation with Mary Purdy a little while earlier this year, where she talked about interprofessional education. One of the goals, which is exactly what you said, was how do you get the rehab team thinking about it? The example that she gave was from her own personal experience about everybody was working towards helping an individual. The problem, what got in the way, the individual wanted to knit and couldn't knit. So how do they all work together, from language, from the occupational therapist, and physical therapist, to remove the obstacles and then allow the rehabilitation to consider. So, that's exactly right. And, Jamie, I know you've got some ideas as well.   Jamie: Well, that was just inspiring. It makes me want to go be a clinician every day again in long term care, because it's just really inspiring to think about change in that way of clinical practice. What came to me when you said easy to implement, but have a broad impact, it brought me back to a paper that I was reading. It's by Mia Loft and colleagues, and it's called, Call for Human Contact and Support. It's a paper about stroke survivors and their experiences in inpatient rehabilitation. Essentially, what they communicated was that they just wanted to be treated like humans. They wanted to be asked how they were doing. They wanted to be talked to like they were a person and not a patient. The really interesting thing was that they felt like these negative experiences really derailed their rehabilitation and motivation to get better, because they were so worried about what was going to happen after they left this place, “What happens when I go home? Am I going to go back to work?” These really negative emotional feelings disrupted the very start of their rehabilitation journey. Instead, what they ended up doing was kind of sitting in isolation most of the time and feeling like their interactions with healthcare workers were negative. That made me think back to the tiny habits talk that Linda Worrall gave at IARC. We as SLPs, we're the models for what good communication looks like in those settings. I think it's kind of our responsibility to start building those habits into our own practices. It might change a little bit of a shift in our view about what therapy looks like, and what's our role in that situation. It might take us recognizing the importance of stopping and asking somebody, how are you doing, but really listening. Maybe starting small with some of those tiny habits and being a model can really influence our other colleagues that we're working with of the importance of these small things in the rehab journey for the patient, especially early on when they're dealing with these emotional consequences of diagnosis.   Janet: You mentioned the word motivation, which of course was another previous Podcast with Mike Biel talking about the role of motivation. Everybody says, “oh yes, yes, motivation is important to consider.” But nobody really does much about it. I mean, how do you know if somebody's motivated or not? To your point about sitting in isolation in the care facility, you can't just say that patient is not motivated, therefore, we're not going to do a particular activity. Until you have a discussion, you don't know. You don't know what they want to achieve, which is back to your comment earlier Nina, about what does this patient want to achieve in the long run? What is the aim here? And if you can have those conversations, find out the motivation, I think you have a greater likelihood of a maximum outcome, positive outcome of the rehabilitation journey.   I thought of something and wonder about this idea. Wouldn't it be fun...well, maybe it wouldn't be fun, I don't know, developing a little sort of cheat sheet or a little card that the Aphasia Access might put out that has these gap areas. If it's cute, designed well, it may be something that clinicians could put on their badge or keep on their clipboards. Instead of having to remember it in their brain, it's all right there in front of them - “Remember about these gap areas is you provide a service to an individual with aphasia.”   Nina: That's a great idea. Little infographic that's something people can carry around and remind themselves. Good idea.   Jamie: Yeah, I love it.   Janet: Well, thank you. Let's see if it comes to pass because it truly is, I think very difficult to bear everything in mind when you're in a busy schedule. Anything that we can do to help a clinician have an easier life, like you don't have to remember the gap areas, they're right here in front of you, we'll see. It's an idea.   As we draw this interview to a close, Nina and Jamie, I wonder if you would each reflect on your work and experience in aphasia rehabilitation, and in preparing the State of Aphasia Reports. Are there a few pearls of wisdom, or lessons learned or words of guidance you might offer our listeners, as they interact with persons with aphasia, and approach aphasia care on a daily basis?   Nina: Well, I'm not sure I have any pearls, maybe some grains of sand to irritate the thought process. I think the first point I would make is understanding, or deeply understanding the values of a life participation approach to aphasia, is critical to achieving relevant and meaningful outcomes. I think the most important clinical skill, and I alluded to this earlier, is knowing how to set meaningful participation goals in collaboration with clients. Once we learn this, then the rest sort of falls into place because you're thinking about the big picture and what is important where. I think that's a key thing is learning how to write those big picture goals, and then see how to get there.   I think everyone involved with aphasia should read Linda Worrall's Seven habits of highly successful aphasia therapists. I think her PowerPoint on that topic that she presented is available on the Aphasia Access website. It's a common sense and elegant outline of the Must Do's for any aphasia therapist. It's seven things that make a good aphasia therapist, and if each item on her list were addressed, we could probably scratch off a bunch of gaps in services. I think that's another one of the things that I would recommend.   Jamie: Yeah, that is a great paper. It's been so influential for me and working with people with aphasia, but training clinicians, it's a great paper. I don't have any pearls of wisdom, either. I guess my only advice and Nina you've probably heard this saying before. This is something that is said down here in Cajun country in our French culture. It's “lache pas la patate”. It means, “don't drop the potato”. Essentially what that means is, even when things get really hard, don't give up. So if you're a clinician working in a situation where it's really hard for you to feel like you can achieve some of the things that we're talking about today, don't give up and know that we're all working towards this goal. We are recognizing these issues. I promise you, we're all thinking about these things, and that we're in it together.   Janet: I love that phrase, Jamie. I'm going to learn to have it trickle off my tongue and I'm going to use it frequently. That's a great idea. Doesn't it really describe how we want to be acting as humans. We're all in this together. Be a human. This person with aphasia is another human and we're trying to help this human with aphasia, given the skills that we possess that they perhaps don't. But they possess skills that we perhaps don't so together, we're on the rehab journey. Say it again, the phrase. “lash……”   Jamie: Lache pas la patate   Janet: Lache pas la patate. We're going to remember that phrase.   Thank you, Nina and Jamie for being part of the Aphasia Access Conversations, and for your efforts in creating the State of Aphasia Reports. I look forward to reading the updated version and seeing how its information will influence aphasia rehabilitation, and how it can assist clinicians and researchers as we continually work to improve care for and partnership with persons with aphasia and their families. I especially, am thankful that we had such a fun conversation, and I learned a new term today. The conversation we had continues to make me mindful of how we interact with everyone in our world, especially those people who have aphasia and their family members. And the people who work with or treat those people who have aphasia and their family members. And thank you to our listeners.   For references and resources mentioned in today's show, please see our Show Notes. They're available on our website, www.aphasiaaccess.org. There you can also become a member of our organization, browse our growing library of materials, and find out about the Aphasia Access Academy. If you have an idea for a future podcast episode, email us at info@aphasiaaccess.org. For Aphasia Access Conversations, I'm Janet Patterson. Thanks again for your ongoing support of Aphasia Access.   Conversations, Gap Areas, References, and Words to Live By Aphasia Access Conversations Episode #62 - Identifying gaps in aphasia care and steps toward action: A conversation with Aphasia Access Board President Liz Hoover Episode #77: Voltage drop and aphasia treatment: Thinking about the research- practice dosage gap in aphasia rehabilitation: In conversation with Rob Cavanaugh Episode #72: Implementation Science, Aphasia, and Sauce: A Conversation with Natalie Douglas Episode #67: Considering depression in people who have aphasia and their care partners: In conversation with Rebecca Hunting Pompon Episode #89: Aphasia is a complex disorder: Mental health, language, and more – A conversation with Dr. Sameer Ashaie Episode #84: Interprofessional Practice and Interprofessional Education: In conversation with Mary Purdy Episode #69: Motivation and engagement in aphasia rehabilitation: In conversation with Michael Biel Episode #88: Everyone's an expert: Person-centeredness in the clinic and research - A conversation with Jackie Hinckley   2018 State of Aphasia Report - Gap Areas 1.Insufficient awareness and knowledge of aphasia by health care providers and the wider public    2.Insufficient funding across the continuum of care           3.Insufficient availability of communication intervention for people with aphasia (need for services)  4.Insufficient intensity of aphasia intervention across the continuum of care     5.Insufficient attention to life participation across the continuum of care    6.Insufficient training and protocols or guidelines to aid implementation of participation-oriented intervention across the continuum of care            7.Insufficient or absent communication access for people with aphasia or other communication barriers               8. Insufficient attention to depression and low mood across the continuum of care 9. Lack of a holistic approach to community reintegration       10. Failure to address family/caregiver needs including information, support, counseling, and communication training   References Fogg, B.J. (2019). Tiny habits: The small changes that change everything. Boston: Houghton Mifflin Harcourt. Loft, M.L., Martinsen, B., Esbensen, B, Mathiesen, L.L., Iversen, H.K. Poulsen, I. (2019). Call for human contact and support: An interview study exploring patients' experiences with inpatient stroke rehabilitation and their perception of nurses' and nurse assistants' roles and functions. Disability and Rehabilitation, 41:4, 396-404, DOI: 10.1080/09638288.2017.1393698 Worrall, L. (2022). The why and how of integrating mental health care into aphasia services. Presentation to The International Aphasia Rehabilitation Conference, Philadelphia PA: June. Worrall, L. (2019). The seven habits of highly effective aphasia therapists. Presentation to the Aphasia Access Leadership Summit, Baltimore MD: June.   Words to live by Lache Pas La Patate! (Don't Drop the Potato!) This saying means that even when things get difficult, don't give up. It is a testament to the resiliency and enduring spirit of the Cajun people. Cajuns are known for their strong family and community values. During difficult times everyone comes together and helps each other out.    

Environmental toxins can have a significant burden on human health, yet the topic remains rife with confusion and misinformation. In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN, is joined by Dr. Rupa Marya to explore the connection between environmental toxins, food systems, and human health. Tune in as Dr. Marya explains the different types of environmental toxins, how they can inflict and exacerbate chronic inflammation and other health conditions, and the steps you can implement to minimize risk. Rupa Marya, MD is a physician and Associate Professor of Medicine at the University of California, San Francisco. Dr. Marya earned her medical degree from Georgetown University School of Medicine and completed her residency in internal medicine at UCSF. She is the founder and executive director of the Deep Medicine Circle, a worker-directed nonprofit whose mission is healing the wounds of colonialism through food, medicine, restoration, story and learning. She is the cofounder of the Do No Harm Coalition and co-author with Raj Patel of Inflamed: Deep Medicine and the Anatomy of Injustice. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit https://healthcare.orgain.com/podcast/episodes/listen/season/2/episode/20. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

According to the CDC, more than 37 million Americans have diabetes, and 1 in 3 Americans are living with prediabetes. In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN is joined by registered dietitian and certified diabetes educator, Kim Rose, RDN, CDCES, CNSC, LD, to explore the current state of diabetes, including how it disproportionally impacts people of color, and effective dietary and lifestyle strategies to prevent, manage and control diabetes. Plus, Kim dives into the latest science on non-caloric sweeteners, the role of resistant starch in gut health support, and honoring cultural food practices with patients. Kim Rose, RDN, CDCES, CNSC, LD is a registered dietitian nutritionist specializing in diabetes care and management and valued member of Orgain's Nutrition Advisory Board. She earned a B.S. in Dietetics and B.S. in Exercise Physiology from The Florida State University and is a Certified Diabetes Care and Education Specialist and Certified Nutrition Support Clinician. With over a decade of experience, Kim has taught thousands of people dietary and lifestyle strategies to manage blood sugar while still enjoying the cultural foods they love. In her private practice she uproots common food-related misconceptions and empowers her clients to build sustainable (and tasty) eating patterns. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit https://healthcare.orgain.com/podcast/episodes/listen/season/2/episode/19. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

Motivated by research, lifestyle medicine is an evidence-based approach that targets modifiable behaviors to prevent, treat, and potentially reverse, chronic disease. In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN is joined by Founder and President of the nonprofit Preventive Medicine Research Institute, Dr. Dean Ornish, to explore the undeniable impact of positive lifestyle changes to optimize health. Tune in as they discuss the key pillars of health, including importance of relationships and stress management, and Dr. Ornish's revolutionary research proving that lifestyle changes can often reverse signs of aging and the progression of most chronic diseases. Dr. Dean Ornish is a physician, researcher, and Founder and President of the nonprofit Preventive Medicine Research Institute. He is a clinical professor of medicine at the University of California, San Francisco, and the author of seven books, all national bestsellers. Dr. Ornish has directed revolutionary research proving, for the first time, that lifestyle changes can often reverse-undo-the progression of many of the most common and costly chronic diseases and potentially even begin reversing aging at a cellular level. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit https://healthcare.orgain.com/podcast/episodes/listen/season/2/episode/18. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

Mary Purdy, MS, RDN is an award-winning Integrative Eco-Dietitian and nutrition educator with a Master's Degree from Bastyr University in Seattle, Washington (USA) where she has been adjunct faculty since 2015. She teaches and lectures for numerous Universities, institutions and professional educational platforms and is a regular speaker at national and state conferences on both nutrition and sustainability. She has been in clinical practice for over 13 years using a personalized medicine and functional nutrition approach and is currently the Nutrition and Sustainability Adviser and Community Builder for Big Bold Health led by Dr. Jeffrey Bland. She is also the Director of Education for The Planetary Health Collective which serves to leverage the skillsets of nutrition professionals in the movement around the climate crisis. Additionally, she regularly moderates educational panels, hosts the podcasts “The Nutrition Show” and "The Good Clean Nutrition Podcast" and authored the books “Serving the Broccoli Gods" and "The Microbiome Diet Reset." She adores kale, chocolate and avocados.

Increased awareness and medicinal use of cannabidiol (CBD) has sparked the need for consumer education from trusted sources. In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN is joined by Holistic Cannabis Practitioner, Janice Newell Bissex, MS, RDN, FAND, to explore the growing body of evidence supporting the use of CBD for common health conditions including pain, anxiety, inflammation, insomnia, and more. Tune in as they debunk common misconceptions about cannabis, discuss the key differences between cannabinoids CBD and THC, and review dosage guidelines. Janice Newell Bissex, MS, RDN, FAND, is a Holistic Cannabis Practitioner, Registered Dietitian Nutritionist, and author. She teaches cannabis therapy and is Co-Program Director, Cannabinoid Medical Sciences at John Patrick University School of Integrative and Functional Medicine. She has written two books on CBD: Simple Guide to CBD: Fact, Fiction, and a Path Forward and Simple Guide to Cannabis Gardening: From Seed to Weed. Janice has her own line of the highest quality organically grown, phytocannabinoid-rich hemp CBD products for her clients that she sells under her Jannabis Wellness label. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit https://healthcare.orgain.com/podcast/episodes/listen/season/2/episode/17. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

Meet Mary Purdy. Mary is an Eco-Dietitian, charting a new path forward that connects human health to the health of our soil and our planet. If you really want to know why there's so much buzz around microbiomes and regenerative agriculture, this is the conversation for you. This podcast is for educational purposes only. It is not a substitute for professional care by a doctor or other qualified medical professional. This podcast is provided on the understanding that it does not constitute medical or other professional advice or services.

The C.D.C. reports that the coronavirus has already infected more than half of Americans. Now, more than two years into the pandemic, we are learning more about the virus, prevention, treatment and its long-term impacts on health. In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN is joined by internationally renowned physician and researcher Dr. William Li to discuss his research into COVID-19. Tune in as Dr. Li discusses how diet and nutrition can support your body's health defense systems against disease, and potentially assist in prevention and treatment of COVID-19. William W. Li, MD, is an internationally renowned physician, scientist, and author of the NYT bestseller “Eat to Beat Disease: The New Science of How Your Body Can Heal Itself.” His groundbreaking work has led to the development of more than 30 new medical treatments and impacts care for more than 70 diseases including cancer, diabetes, blindness, heart disease and obesity. He is president and medical director of the Angiogenesis Foundation and is leading research into COVID-19. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit https://healthcare.orgain.com/podcast/episodes/listen/season/2/episode/16. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

A towering body of research suggests that plant-based diets have significant advantages on health and the planet. However, for those that live in food deserts or struggle financially, it can be difficult to adopt and sustain a plant-rich approach to eating. In this special episode, host Mary Purdy, MS, RDN, is joined by Orgain's CEO and Founder, Dr. Andrew Abraham, and award-winning artist, actor, and activist, Common. Tune in as they share about their recent collaboration and dive into important topics regarding the challenges of accessibility of healthy foods in underserved communities and learn how you could support positive change. Common is an Academy Award, Golden Globe, Emmy and Grammy-winning artist, actor, and activist, who continues to break down barriers with a multitude of critically acclaimed, diverse roles, and continued success at the box office. While an accomplished musician, actor and producer, Common's focus on health and lifestyle activism is what brings us together today. He began his wellness journey in the 1990's, and in 2020 launched a YouTube series, Com+Well, to share the self-care knowledge and tools he's been made aware of. Dr. Andrew Abraham is an integrative medicine physician and the CEO and founder of Orgain. While fighting an aggressive form of tissue cancer as a teenager, he began turning to nutrition as a first line of defense, blending shakes at home using only all-natural, food-based ingredients to replace the low-quality, conventional nutritional shakes given to him by his doctors. Years later, while seeing patients as a practicing physician, Dr. Abraham realized the quality of conventional nutritional shakes had barely improved since his diagnosis, which inspired him to found Orgain in 2009. In addition to leading Orgain, he supports several early-stage, high-growth food and beverage companies as an investor and advisor. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit https://healthcare.orgain.com/podcast/episodes/listen/season/2/episode/15. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

Collagen seems to be everywhere nowadays, but what is it and why is there so much interest in it? In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN is joined by Molly Kimball, RD, CSSD, a Registered Dietitian, Board Certified Specialist in Sports Dietetics, to explore the evidence currently available on collagen. Tune in to learn what roles collagen can play in assisting in recovery, supporting joint and gut health, and benefiting our skin, hair and nails. Plus, tips on how to choose a quality collagen product and supplement with collagen. Molly Kimball, RD, CSSD is a Registered Dietitian, Board Certified Specialist in Sports Dietetics, and works as a nutrition journalist and practitioner. Molly has been the go-to nutrition expert for New Orleans' ABC affiliate WGNO since 2009, with weekly TV segments on WGNO's Good Morning New Orleans, Get Fueled with Molly, and is regularly featured as a nutritional expert for national news stories including outlets such as Vogue, The New York Times, Newsweek, Shape, Health, Fitness, Runner's World, Wine Enthusiast, Cosmopolitan, WebMD, and CNN.com. She is the author of the Eat Fit Cookbook, a collection of chef-inspired recipes for the home and host of the podcast FUELED wellness + nutrition with Molly Kimball. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit https://healthcare.orgain.com/podcast/episodes/listen/season/2/episode/14. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

During this episode, Dr. Janet Patterson, Research Speech-Language Pathologist at the VA Northern California Healthcare System, speaks with Dr. Mary Purdy about aphasia rehabilitation, Interprofessional Practice (IPP) and Interprofessional Education (IPE).    In today's episode, you will:   Learn how IPP and IPE are related, in concept and practice. Hear about the similarities and differences in IPP in inpatient settings and outpatient settings. Listen to ideas on delivering client-centered treatment in an atmosphere of IPP.   Interview Transcript: Janet Patterson: Welcome to this edition of Aphasia Access Podversations, a series of conversations about community aphasia programs that follow the LPAA model. My name is Janet Patterson, and I am a Research Speech-Language Pathologist at the VA Northern California Healthcare System in Martinez, California. Today I am delighted to be speaking with my colleague and friend, Mary Purdy, about Interprofessional Education, or IPE, and Interprofessional Practice, or IPP. Dr. Purdy is Professor and Graduate Program Coordinator in the Department of Communication Disorders at Southern Connecticut State University in New Haven, Connecticut, and a speech- language pathologist at Hartford Health Care Rehabilitation Network. Mary has been involved with educating graduate students in the principles and practices of IPE for several years and is currently Chair of Southern Connecticut State University's College of Health and Human Services IPE committee. Additionally, she actively engages in Interprofessional Practice in the outpatient setting.  As Mary and I start this podcast, I want to give you a quick reminder that this year we are again sharing episodes that highlight at least one of the ten gap areas in aphasia care identified in the Aphasia Access White Paper authored by Dr. Nina Simmons-Mackie. For more information on this White Paper, check out Podversation Episode #62 with Dr. Liz Hoover as she describes these gap areas, or go to the Aphasia Access website.  This episode with Dr. Purdy focuses on gap area five, attention to life participation across the continuum of care, and gap area six, training and protocols or guidelines to aid implementation of participation-oriented intervention across the continuum of care. We focus on these areas through our discussions of IPE and IPP. Two previous Aphasia Access podcasts included conversations about IPE, Episode #7 with Darla Hagge and Episode #78 with Michelle Gravier, Albert Mendoza and Jennifer Sherwood. For so many reasons, IPE and IPP are crucial in creating and sustaining high quality aphasia rehabilitation programs. I hope our conversation today adds to the growing body of knowledge in IPP and IPE. With that introduction, I would like to welcome Dr. Mary Purdy to Aphasia Access conversations. Thank you, Mary for joining me today to discuss aphasia rehabilitation, IPP and IPE.  Mary Purdy: Well, thanks Janet. And thank you. It's really good to be here.  Janet: Let me just jump right in then Mary to say we've heard a lot about Interprofessional Education, or IPE, and Interprofessional Practice, or IPP. How do you define and think about these two related, but different concepts, both in general, and as they apply to aphasia rehabilitation?  Mary: Well, in general, when we think about IPP, the whole concept of collaboration, we know, leads to improved health care outcomes, and that's what we're all after, with our people with aphasia. In terms of the education students need, to learn how to collaborate with other professionals, and this can be quite complex. First of all, they need to understand what their own roles and responsibilities are, just related to their profession. Plus, they have to learn to work as a member of a team, and not just operate on their own, solo. In order to have students become comfortable in these roles, we have to provide them with opportunities to learn, and those opportunities, I think, really need to be both didactic and interactive.  Specifically, to aphasia rehabilitation, in addition to just general education about collaboration, students need to understand that individuals with aphasia really do have complex needs and to meet these needs, we have to focus on the patient. We hear a lot about patient-centered care, and that's really what it is that we need to be doing. So, students need to have some training in how to communicate with people with aphasia, and they need to get to the point where they can be comfortable training others to help communication. We have to help our patients identify what their goals are.  Interprofessional collaboration and practice, and patient-centered care really is all about the patient goals. They have to be really included with the whole program. Students have to be comfortable in aiding patients in identifying their goals, and they have to understand how other professionals can help meet those goals. You know, when we work with our clients, we of course, are focused on communication, but our patients are so much more than that. We have to look at them as the entire person that they are and recognize that we as speech pathologists can't take care of all their needs by ourselves. So, we have to bring in other professionals to help the clients meet their goals. The other thing is, we know that patient's needs change, as they adjust to life with aphasia, and they move throughout the continuum of care. As those needs change, the team members may also change, so students need to recognize that collaboration and interprofessional practice is always in flux. It's an ever-changing concept, in terms of practicing interprofessional collaboration. As clinicians, we need to practice what we preach, we have to remain focused on our patient, what their needs are, what their goals are. It can be difficult at times given time constraints and other constraints within the healthcare environment, but we really do need to try to make the effort.  Janet: Hearing you talk Mary, I'm envisioning a student, a graduate student, who is focused in trying to learn everything they can about the different aspects of communication disorders, not to mention everything about aphasia, and now we're asking them to learn more. That is, what an occupational therapist does or what a physical therapist does and how to organize that. Is that a daunting task for students?  Mary: I think so. As I said, they're learning what they themselves have to do, you know, what do I do as a speech-language pathologist. And so, when we start throwing everything else at them, I can imagine it's very daunting for students and it's hard to try to design educational opportunities that take into consideration where the student is in their whole educational process. I think there's a timing issue of how to be introducing all of these different concepts throughout the student's education.  Janet: Mary, as you recall from the introduction today, the White Paper authored by Dr. Simmons-Mackie identified gap areas in aphasia rehabilitation across the continuum of care, two of which I think relate to IPE and IPP. I would like to ask you about your thoughts regarding IPE and IPP and how they intersect with the LPAA model at three times: first, during graduate education as we teach and model for students who will become clinicians; second, during aphasia treatment in inpatient medical facilities; and third in the outpatient setting, including community aphasia groups. Let's begin with the educational environment. How do you teach and model IPE for your students? Can you tell us about some examples you use and how your students respond to your IPE activities?  Mary: First of all, in the educational environment when we're first really training the students, this is truly the IPE portion where we're preparing the students to learn the process of collaboration. Specific to aphasia, I usually start in my aphasia class. We have a couple of different case studies that we go through, that provide information to students about stroke, the professionals involved with stroke, then the person with aphasia. Through the case studies, I'm introducing them to the professions, and then to aphasia and how the professionals work with aphasia. Another thing that I do in class is, every semester students will interview a person with aphasia. They'll do a little language screen, and they'll interview a patient that comes up from our clinic. Recently with COVID, we've been doing this over Zoom, and it works fine. As part of that, they are instructed to ask the clients about their goals; what goals do they have both for clinic in terms of their communication, but also in general. Then later, we discuss what is needed to help the patient accomplish the specific goals, both within our own profession as well as outside. So, in class, there's a general introduction to IPE.  In the clinic, we've had some fun activities, very informative from multiple perspectives. One thing that we do is we have nursing students who are enrolled in their community health class, come into the clinic to perform a health intake with our individuals with aphasia. Now prior to that, our students have given the nursing students a little bit of background on aphasia, and we have the students view a video about it. And then when the nurses come into the clinic, they work with our students there together during the interview process. The nurses go through and ask all their questions and, I shouldn't laugh, but sometimes it's amusing to see the nursing students' reactions. They are just kind of flabbergasted in terms of, “okay, now what do I do?” For one client, the nurse was asking, the client, “Do you have a history of heart problems, cancer”, blah, blah, blah, blah, blah, and the client was responding “Yes” to everything. The nurse was saying “Oh, my gosh, you poor thing you've just been through so much”. I was in the observation room with the wife, who was saying he didn't have any of those problems. So, it was actually a very good learning experience for the nurse. Then our student jumped in and started using more pictures to try to help with understanding. We provided the supported communication prompts to help with that.  We've had therapeutic recreation come into the clinic, and we've had a few trips into the community. We've gone bowling, and that was interesting. The students learned about devices that are available to individuals who have hemiparesis. There are these stands that the person puts the ball on and just kind of pushes the ball off this rolling stand and it goes down the alley. Our students learn a lot about accessibility and what can be done to help our patients get around in the community a bit more. That's a couple of examples of what we've done in the clinic.  We also have worked with the Marriage and Family Therapy department to provide support to the spouses of the individuals with aphasia. I think that's another important aspect to make the students aware of, that aphasia doesn't affect just the person who has it. It affects everybody, and the spouses need support as well. Our students have sat in on and facilitated some of those sessions as well.  Some other opportunities our students have had are again related to assessment. We had our students go to the nursing lab, where they were doing simulations of assessments, and our students played people with aphasia. That was a lot of fun, and I tell you, it told me a lot about how much our students really understood about aphasia; it gave me some very good feedback as well. We've had a variety of different kinds of activities to educate other professionals about aphasia, to educate our students about the other professionals. So, it's been a lot of fun.  You asked about how the students responded to these activities, and an important component is the debriefing. After every activity, we always talk with the students about what they thought of the experience. They obviously they love the hands-on activities, they find those to be much more beneficial than the case studies and what have you. They've talked about how much they've learned about the patient; they're stunned often with the complexity of medical issues that the patients have, and it's sometimes led to new goals in our therapy sessions. We've had some goals where we would use aphasia friendly educational materials to inform the clients about their medications. We did roleplay scripts for community reentry, so that's been helpful for the students. It just increased their awareness overall. Their feedback was that it forces them to really look beyond just communication. And it also helped their interactions with the clients, kind of viewing them and accepting them as a real person, not just a client with a communication problem.  Janet: It sounds like such a rich experience for your students, when they're hearing it - the case studies, it's one thing to see those words on the piece of paper that says the patient has this diagnosis or has had that treatment, and then to see this person talk about, or try to talk about, whatever their concerns are, or their issues. I imagine the students must just be on one hand overwhelmed with everything, all the information that's coming to them, but very grateful for this experience, the whole interprofessional education experience,  Mary: They sometimes are overwhelmed, but I think the benefit outweighs the degree to which they're overwhelmed.  Janet: I'm sure that you can share stories of your own, thinking back to assure them that other people experience this, and you'll get better with time, and it will feel better and more natural in these kinds of conversations the longer you go in the career in the field of speech language pathology. Mary: I always tie in my personal experiences when I'm trying to explain one of these concepts. It does make it a bit more real to the students.  Janet: Well, that actually leads into my next question, Mary. You are, in addition to being the university faculty member, you are also a practicing clinician, and you use IPE and IPP in your work. How do you incorporate the ideas and the principles of IPP into your clinical activities, when you're in the inpatient medical settings, we'll talk about that setting for just a few minutes, the inpatient medical setting?  Mary: That's actually where I started my clinical career, in inpatient rehab, and it's always remained kind of dear to my heart, although it was very different back then, where patients would stay inpatient for three months. Two weeks they get now if they're lucky. In the inpatient situation it's a little bit easier to do collaboration because there usually are established team meetings. There are some requirements for accreditation related to collaboration. Though I have to say, that just having a group of individuals come together for a meeting doesn't necessarily include collaboration. I think it has to be approached very thoughtfully, in terms of what are we going to do to differentiate true interprofessional collaboration from just a multidisciplinary team? I think one of the main differences is truly staying focused on the patient and having more of a problem-based approach. We look at what are the issues with the patient and who needs to come together to address those issues. So, the collaboration is kind of built in through these regular team meetings.  In addition to that, though, I think the inpatient setting provides some unique opportunities. I've done a lot of co-treatment with PT and with OT. Just last week I was down in our makeshift apartment, it's actually a model of an apartment that has a bedroom, kitchen, everything, and I was working with OT. The OT was trying to help the individual manage with their one hand and also be conscious of the safety issues. The inpatient setting provides the opportunity for us to do some co-treatment as well. I've worked with PTs and OTs, trying to help the patient ambulate. We work on carryover of each other's techniques, and we educate each other about our own professions. Even at that level we have new OTS coming on the scene who had never worked with a person with aphasia. So, the co-treatments allow us to provide some of that education in a very naturalistic environment, which obviously is helpful to the patient. We also work together to figure out which discipline needs to address, what aspects of a problem. If a patient is having issues with problem solving, or flexibility, speech can address that, or OT can address that. So, we kind of work out who's going to do what, in a very non territorial way, which is fun.  One of my favorite projects that I did was a self-medication program. I work very closely with nursing to help educate the patient about their medications, what they're for, what the side effects are, what to do if there's a problem, and how to fill their med boxes. I took a lot of the information that the nurse was providing the client and incorporated that into my own therapy sessions in a much more aphasia friendly manner. It really is helpful in helping the individuals become a bit more independent. Anything that we can do to help increase their independence is so good for their psyche, for their motivation, and for their own self-worth. Not having to depend on a spouse to give them their meds is a big accomplishment. We also follow through on using techniques recommended by one profession in the other settings. So, I will make sure that I have patients positioned properly, when I'm working with them; I make sure that client has their communication book with them, or the OT would make sure the patient has the communication book when they're in the OT session. There's a lot of ongoing discussion about what we each need to be doing to help one another and help the patient.  Janet: That actually, it's both education and its practice, isn't it, because whatever you're learning and teaching new about aphasia in your classroom is also being shared, if you will, with your colleagues at the hospital, and they're teaching you, and you're doing it within the confines of the needs of a particular patient. So, I imagine that the interprofessional practice part, the education part of that, is just always there, is ongoing, and you don't make assumptions that the OT or PT automatically understand your goals in speech, nor do you automatically understand theirs for occupational or physical therapy. Mary: The education component really is carried on throughout, not with students, but as you said, with the other professionals. We're all always learning. I've been in this practice for more years than I care to count and I'm still learning things. That makes things fun and exciting and never boring.  Janet: When I think back, about the importance of LPAA and the importance of patient- centered care, when I think back on some of my practice 100 years ago, I wish I would have done things differently for patients. I could have been a much more effective clinician, but I wasn't thinking in that direction at that point in time. But I am now and I'm hoping that our listeners will also realize there's a lot out there that we can learn from, and we can impart to other professions as we all work to help patients. Mary: I cringe at some of the things that I did 30 years ago, but you live and learn. The end goal is always the same - we want to do what we can to help our patients. We want our patients to be able to lead fulfilling lives, how we get them there has changed, a little bit.  Janet: You've talked to us now about some of the activities you use when you educate students in IPE, and then you've talked about some of the things you do in Interprofessional Practice when you're in the inpatient setting. The third setting I would like to talk to you about is community aphasia groups and the outpatient setting. You may be the only speech-language pathologist on the staff, or you may not have access to other rehabilitation professionals in the outpatient setting like you do in the inpatient setting. How do you see IPE and IPP intersecting with the LPAA model in these clinical settings, either outpatient settings or community aphasia groups?  Mary: Personally, I don't work with community groups outside of the university and I think groups within a university are very different than groups in the community, you know, separate from an educational environment. I continue to work providing outpatient services to single individuals with aphasia, and without a doubt, thinking about collaboration requires more effort. Most of the time, the patients have already finished their OT and PT by the time they get to the Outpatient Center, at least where I am. I don't have those professionals nearby so collaborating would be difficult. But the thing is, even though they may have been dismissed from those other therapies, that doesn't mean that the patients don't still have needs, and their needs now might be very different than when they were discharged from the therapy, three months, or six months prior. I think we need to remain patient centered and always be thinking about, “What is this person doing? How fulfilled is this person? What are their goals?” The patient has been living with aphasia for a while now and so their needs have changed. They are, in my experience, branching out a whole lot more or wanting to branch out more so we have to know what their goals are for life participation, what is it they want to accomplish? Those goals may be completely unrelated to what I, as a speech-language pathologist, will be doing.  For example, one of my patients had always done knitting, she just loved to knit. She was lamenting that she wasn't able to knit for her new grandchild. I was asking her what was the main problem with it? Of course, she indicated her hand, she couldn't hold the knitting needles. I briefly talked with our OT in our clinic, and asked, “Would this be something that you think we should get another referral for? Is it something that you could really assist her with?” And the OT said, “Well, yeah, sure.” So, we did get a referral for her to get an OT eval, and the OT gave her a built-up knitting needle. I was familiar with them for pens, but I had never even thought of one on a needle. That enabled the patient to continue with her knitting. Granted, she was slower, and she might have missed a stitch or two, but she was so much happier that she was able to do that. And so, OT accomplished the goal of getting this patient back involved. I guess the moral of the story is, even if we're not directly working with the other professionals, they may be accessible, or we can get them re-involved, and so we need to keep an open mind about that, and not just think that, okay, they're done with PT, they're done with OT, because there definitely are things that can be done outside the realm of communication.  Having a good understanding of what our patients' skills are and what their challenges are, can also help us set realistic goals, help our patients set realistic goals. I remember working with a client a while ago who was living at home but needed assistance to get out of the house, to transfer into a car, and so on and so forth. I wasn't really even thinking about that, you know, the patient made it to my office, so I just kind of assumed that they could do whatever. The patient wanted to go back to going out to eat so we were working on scripts. I talked about this with the physical therapist as the patient was still receiving physical therapy. The physical therapist said to me that it's okay if she wants to work on that, but she's not going to be able to get into that restaurant, it's not accessible, physically accessible, and the patient has so much trouble getting out of her home into a car. The whole thing is very laborious and so the family doesn't really want to undertake that challenge at this point. They are willing to do it to get her to therapy, but the family isn't really ready to get her into the community yet. That just made me take a step back and think, “Well, duh! Yeah, of course!” I didn't have my goals aligned with what other professionals had for goals and what the patient had. Understanding more about our patients really can help us all, patient and professionals, align our goals, so that we can accomplish them in a more efficient manner. If a patient needs some therapy and isn't receiving it, we can always ask for referrals; they might be denied, but it doesn't mean we can't ask for them.  Janet: What you said made me think of a couple things. Something you said earlier that aphasia doesn't just affect the person with aphasia, it affects the family. So, when you're talking about setting goals, like your restaurant example, thinking about the PT goals, the OT goals, the family goals, the patient goals - maybe the patient's goal of wanting to be able to order in a restaurant could have been redirected to learn a script in preparation, maybe, for finding a restaurant script later on, but now, at this moment in time that isn't the best direction, as you said. So, it just makes me think really that aphasia is about the family, it is about more than just the person with aphasia.  Mary: Oh, absolutely. Patient-centered goals definitely are centered on what the patient wants, but I think have to be considered, along with what the family wants, and what's realistic. They're the ones that are existing together. They are the ones that are ultimately responsible for carrying out, or not carrying out, these different things. I think everybody needs to be on the same page. Janet: Something else you said also made me think - the knitting needle example. In addition to achieving a goal, or to listening to the patient, you're also modeling for the patient how to ask for something, or how to think about another referral, because a new set of skills has developed, or a new set of problems has developed, now that you're further along in the aphasia journey.  Mary: I think it's a part of our phase of therapy in general, I think increasing self- advocacy is a critical component, making them aware of what their rights are, and what they can be asking for and demanding. Then giving them the tools to do that is a major component of our therapy,  Janet: That is exactly what LPAA is, asking what it is the patient wants to do, looking around the environment, and asking how we can help the individual achieve those goals, and the family achieve the goals as well. So, your comments and ideas about IPE and IPP, I think are pretty exciting, Mary, I hear the excitement in your voice as you're talking. But I also think they're crucial to the way that we should be thinking about how to deliver rehabilitation services in the coming years and months ahead of us.  As we draw this Podversation to a close, what are the pearls of wisdom or lessons learned, that you would like to share with our listeners? And in particular, what practice suggestions might you offer to clinicians, as they try to incorporate principles of IPE and IPP into their own practices?  Mary: Well, I've certainly learned a lot. I've learned my lessons as I've moved through this journey. I do have fun with it, so it's always worth it. In terms of education, for educators and IPE, I think I would recommend starting small. Sometimes my excitement about IPE has led me to be a bit over ambitious, and that can get frustrating for me, it can get frustrating for my colleagues, and for my students. So, starting small I think, is a good place to start. We might set expectations that are not necessarily realistic for our particular environment or for a particular academic department. I think it's important to know that we can be effective with small changes, small changes in our curriculum, like incorporating the activities into the aphasia class. Another thing that has been helpful is finding a group of like-minded colleagues, because a lot of times many of these projects are carried out on our own time in the educational environment, so you have to be with others who are as excited about the project as you are to really make it work. I'd suggest getting involved with schoolwide Interprofessional Education efforts if they exist. If they don't exist, jump in and try to create them so that they can exist.  For clinicians, I think we have to practice what we preach - more follow through on the different principles that we're instilling in our students. I think as clinicians we have to stay patient-centered and think beyond just communication. Similar to what I mentioned for educators, start small. A meaningful change in the life of a person with aphasia doesn't necessarily require great amounts of time and effort. If we just think small, think of individual goals, little changes can have a big impact. Then finally, I would say, get to know your patient and be their advocate.  Janet: Those are good lessons for all of us and not always easy to do, but certainly worth the doing, I think.  This is Janet Patterson, and I'm speaking from the VA in Northern California, and along with Aphasia Access, I would like to thank my guest, Mary Purdy, for sharing her knowledge and experiences with us, as she continues her exciting and important work in IPE and IPP.  You can find references and links in the Show Notes from today's podcast interview with Mary Purdy at Aphasia Access under the resource tab on the homepage. On behalf of Aphasia Access, we thank you for listening to this episode of The Aphasia Access Conversations Podcast. For more information on Aphasia Access, and to access our growing library of materials, please go to www.aphasiaaccess.org. If you have an idea for a future podcast topic, please email us at info@aphasiaaccess.org. Thank you again for your ongoing support of Aphasia Access.  References  purdym1@southernct.edu  Purdy, M. H., Hindenlang, J.& Warner, H. L. (2017). "Interprofessional Education: Take the leap." Presentation to the AMERICAN speech-Language-Hearing Association, November 2017.  Gurevich, N., Osmelak, D.R. & Farris, C. (2020). Interprofessional education between speech pathology and nursing programs: A collaborative e-platform curriculum approach. Journal of Interprofessional Care, 34(4), 572-575. https://doi.org/10.1080/13561820.2019.1657815 

As 10-15% of Americans struggle with IBS, understanding the root cause of digestive symptoms and making mindful dietary choices is key to improving gut health. In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN is joined by gastroenterologist Dr. William Bulsiewicz to discuss dietary strategies for IBS management. Listen as Dr. B shares actionable tips for improving gut health with plant-forward eating, the importance of feeding your microbiome, and his own digestive health journey. Plus, get a sneak peek at some of the recipes from Dr. B's upcoming book, The Fiber Fueled Cookbook. Will Bulsiewicz, MD, MSCI is the award-winning gastroenterologist behind the Instagram account TheGutHealthMD, launched in 2016 to connect with patients and share evidence-based information. Dr. B earned his BS from Vanderbilt University, MS from Northwestern University and went on to receive his MD from Georgetown University School of Medicine. He is board-certified in internal medicine and gastroenterology and is an expert in digestive diseases. He is the author of the New York Times Bestseller, Fiber Fueled, and the soon-to-be-published corresponding cookbook, The Fiber Fueled Cookbook. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit https://healthcare.orgain.com/podcast/episodes/listen/season/2/episode/13. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

Human health is dependent upon the health of the planet, so protecting the planet is of utmost importance. In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN is joined by sustainable food and nutrition expert and co-founder of Food and Planet, Kate Geagan, MS, RD, to discuss the intersection between food, health, and sustainability. Tune in to learn how the climate crisis has impacted the nutritional quality of food, the importance of biodiversity, and the state of today's food and agricultural system. Plus, learn planet-friendly strategies from Kate to help create a better food future. Kate Geagan, MS, RD is an award-winning registered dietitian and sustainable food expert working at the intersection of food, health, and sustainability. She earned a BA from Middlebury College and went on to earn a MS from Simmons University. She is the co-founder of Food + Planet, an organization dedicated to reaching healthcare professionals to drive the adoption of sustainable diet patterns, and is also the author of Go Green, Get Lean: Trim Your Waistline with the Ultimate Low-Carbon Footprint Diet. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit https://healthcare.orgain.com/podcast/episodes/listen/season/2/episode/12. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

When it comes to nutrition and diet, people tend to only consider their physical health – but a growing body of research shows that what we eat can significantly impact our brain health. In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN is joined by nutritional psychiatrist and professional chef Dr. Uma Naidoo to speak about the gut-brain axis. Listen in as Dr. Naidoo shares about the role the microbiome plays in our cognitive and psychological health, including how nutrition can impact age-related cognitive decline and mental health, such as anxiety and depression. Plus, learn some of her tips on how to create a plate that supports your mood and mental health. Dr. Naidoo is a Harvard-trained psychiatrist and professional chef, and is the first Nutritional Psychiatrist recognized by The American Psychiatric Association. After graduating as a medical doctor, she completed her training at the Harvard Longwood Psychiatry Residency Training Program. Dr. Naidoo founded, and is the director of, the first hospital-based Nutritional Psychiatry Service in the U.S. and is also the Director of Nutritional and Lifestyle Psychiatry at both Massachusetts General Hospital and General Hospital Academy, while serving on the faculty at Harvard Medical School. In addition, Dr. Naidoo is the national bestselling author of This Is Your Brain on Food. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit https://healthcare.orgain.com/podcast/episodes/listen/season/2/episode/11. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

The idea of burning fat by eating more is enticing for many, which can be why keto diets have continued to rise in popularity over the last few years. In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN speaks with Dr. Jacob Mey, a registered dietitian with a PhD in Kinesiology, Nutrition and Rehabilitation Sciences, to discuss the many myths surrounding the ketogenic diet. Tune in as they clarify the origins of the keto diet, debunk common misconceptions, and dive into the potential risks and benefits of attempting this trending diet. Plus, learn sustainable tips from Dr. Mey toward successfully adopting (or continuing to follow) the ketogenic diet. Jacob Mey, PhD, RD is a Registered Dietitian who earned his PhD in Kinesiology, Nutrition and Rehabilitation Sciences from the University of Illinois, at Chicago. He is currently an Associate Professor at Pennington Biomedical Research Center, where his clinical research interests include skeletal muscle metabolism, ketogenesis and clinical malnutrition. In addition to his full-time commitment to research, Dr. Mey actively volunteers for Academy dietetic practice groups and is passionate about elevating the dietetic profession. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit http://healthcare.orgain.com/podcast. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

In this week's episode, I will be joined by Mary Purdy, MS, RDN. She is an Integrative and Eco-Dietitian with a Master's Degree from Bastyr University where she is currently adjunct faculty. She has been in clinical practice for over 12 years using personalized medicine and a functional nutrition approach. She has given 100's of presentations, regularly speaks both locally, online and at national health conferences on both nutrition and sustainability, and was the keynote speaker at Bastyr University's Commencement Ceremony 2019. Additionally, she hosts the podcasts “The Nutrition Show” and "The Good Clean Nutrition Podcast" and authored the books “Serving the Broccoli Gods" and "The Microbiome Diet Reset." She is a trained Climate Reality Leader and a consultant working with organizations to create a sustainable, equitable, and resilient food system that supports planetary health and helps to mitigate climate change.In this episode, we talked about how foods with fertilizers and pesticides have a negative impact on human health? What can we do to lessen carbon footprint and beyond carbon emissions of several greenhouse gasses coming from our global food system? How can we make different choices about the way we interact with the food system? We can make a difference as individuals, communities, and as a society. It does begin on an individual level with different choices.Hack: We can't give up hope even if we feel hopeless because there is going to be one thread that we can hold on to where we can see our efforts making a difference.Additional Info:Reach out to Mary:Website: www.marypurdy.coThe Nutrition Show:Mary's Nutrition Show - Mary Purdy - Integrative Eco-DietitianFacebook:The Nutrition Show with Mary Purdy RDTwitter:MaryPurdyHereLinked in:https://www.linkedin.com/in/mary-purdy-ms-integrative-eco-dietitian-3094065/Instagram: https://www.instagram.com/marypurdyRD/YouTube:Mary PurdyReach out to Me:Social:Instagram https://www.instagram.com/thepodcast_doc/Facebook https://www.facebook.com/nate.navasFacebook Group Name is Healthcare Podcast Community FacebookAffiliates:physiomemes.com (Discount code)= Nate20https://www.poddecks.com/ (Discount code)= PODDOC

What if diet was a routinely checked vital sign – alongside conventional measurements such as temperature, heart rate and blood pressure? Join host Mary Purdy, MS, RDN for an enlightening conversation with Dr. David L. Katz, globally recognized specialist in preventative and lifestyle medicine, to kick off the first episode of Season 2. Listen for his thoughts about personalized nutrition, the connection between diet and environmental health, and how his latest venture, the evidence-based digital dietary assessment tool, Diet ID, offers a solution toward measuring and managing diets to help make diet a vital sign. Dr. Katz is a globally recognized specialist in preventive medicine and lifestyle medicine, with expertise in nutrition. A highly respected author and recipient of numerous awards for teaching, writing, and contributions to public health, Dr. Katz has received three honorary doctorate degrees and is also a Fellow of the American College of Preventive Medicine, the American College of Physicians, and the American College of Lifestyle Medicine. In addition to his work with Diet ID, he is the founder and former director of Yale University's Yale-Griffin Prevention Research Center, Past President of the American College of Lifestyle Medicine, and President and Founder of the non-profit True Health Initiative. For show notes, transcripts, and to learn more about host Mary Purdy, MS, RDN, visit http://healthcare.orgain.com/podcast. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

In this episode of Veggie Doctor Radio, I discuss the benefits of incorporating more plant-based eating without having to be 100% vegan.   Disclaimer: The information on this blog, website and podcast is for informational purposes only. It is not meant to replace careful evaluation and treatment. If you have concerns about your or your child's eating, nutrition or growth, consult a doctor.     Mentions: Vote Veggie Doctor Radio for Best Vegan Podcast in Veggie Awards: https://vegnews.com/veggie-awards-2022     Purchase my book, “A Parent's Guide to Intuitive Eating: How to Raise Kids Who Love to Eat Healthy”: https://www.amazon.com/Parents-Guide-Intuitive-Eating-Healthy/dp/1612439330/     Podcast Episode with Dr. Will B, “Getting Fiber Fueled for Optimum Health”: https://apple.co/3rm2yeE     Podcast Episode about benefits of eating whole plant foods, “Why nutrition is important now more than ever”: https://apple.co/3CfNFi7     Learn how to replace dairy in your diet: Doctoryami.com/dairyfree     Podcast Episode on “Eco-Nutrition” with Mary Purdy: https://apple.co/33EfDYj     Podcast Episode with Dr. John McDougall, “Climate Change and Your Diet”: https://apple.co/3Kdn7CB     Podcast Episode on all-or-nothing mindset, “How All-or-Nothing Thinking Is Impairing Your Progress”: https://apple.co/3ykhJbg     Podcast Episode on my plant-based starter kit, “My Favorite Plant-Based & Vegan Books and Documentaries”: https://apple.co/3e5hxU8 + Download the starter kit freebie: doctoryami.com/starterkit     Check out my other freebies: doctoryami.com/free         Send me an email to yami@doctoryami.com with questions and topics     Sign up for my newsletter doctoryami.com/signup   MORE LISTENING OPTIONS Apple Podcasts: http://bit.ly/vdritunes Spotify: http://bit.ly/vdrspotify   NEWSLETTER SIGN UP https://doctoryami.com/signup     FIND ME AT Doctoryami.com Instagram.com/thedoctoryami Facebook.com/thedoctoryami Veggiefitkids.com   * * * * MORE FROM ME Read - http://veggiefitkids.com/blog Listen: http://bit.ly/vdrpodcast Watch - http://bit.ly/vfkvideos TEDx Talk - http://bit.ly/DOCTORYAMITEDX   * * * *   Questions? Email me: Yami@doctoryami.com

Can dietary changes improve your sleep quality and quantity? In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN discusses the connection between diet, sleep and health with Dr. Marie-Pierre St-Onge, Associate Professor of Nutritional Medicine at Columbia University Irving Medical Center. Tune in to learn the key discoveries from her research on the connection between nutrition and sleep, including the impact of nutrient deficiencies on sleep quality and how sleep deprivation can influence food cravings. Be sure to also listen as Dr. St-Onge reveals the top tips she recommends everyone adopt for better zzz's tonight. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

On this week's 15-Minute Matrix episode Mary Purdy speaks about Sustainable Food Systems. This leads us to conversations about environmental stewardship, which encompasses both renewing and protecting our natural resources not just for today, but for the future. Food sustainability impacts everything, including the social justice work needed when it comes to food quality and […] The post #145: Mapping Sustainable Food Systems with Mary Purdy (Replay) appeared first on Functional Nutrition Alliance.

Plant-based eating has grown exponentially in the past few years, and for good reason. In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN is joined by board-certified oncology dietitian, Alison Tierney, MS, RD, CD, CSO to discuss how plant-powered eating can help to manage and even prevent chronic disease. Listen in for clarity on the difference between plant-based and vegan diets, why plant-based eating doesn't always equate to healthy eating, and what to expect when starting a plant-based diet. Plus, learn actionable tips toward successfully adopting a plant-forward approach to eating. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

How can we improve our athletic performance with food? In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN is joined by Scott Sehnert, MS, RD, CSCS, CSSD, a board-certified specialist in sports dietetics and Director of Sports Performance for the Dallas Cowboys, to discuss the importance of nutrition for athletes. Tune in to learn about the best foods to eat pre- and post-workout, why carbohydrates are crucial for training and performance and the science-backed benefits of collagen supplementation for athletes. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

You may have heard the term “intuitive eating” on social media in recent years, but don't mistake it for another fad diet. In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN speaks with registered dietitian and certified intuitive eating counselor Cara Harbstreet, MS, RD, LD to dismantle diet culture, bring clarity to the concept of intuitive eating and debunk myths about the Health At Every Size approach. Listen in as Cara shares ways to equip individuals with healthy and sustainable nutrition habits, along with how to recognize diet culture at work in order to get support and fight back, when needed. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

"We cannot consider organic without considering: what's the life of the farmworker who's working at that organic farm?"Eco-Dietitian and author, Mary Purdy (she/her), is our guest on Green Stuff this week! Even though our need for food and nutrients is very basic, deciding what kinds of food make it on our plates can be complex. Stephanie and Mary discuss the importance of thinking beyond what food is healthy for our bodies to including what food is healthy for our planet and our communities. With her expertise, Mary provides some insight on how we can incorporate social justice, planetary health, environmental justice, and nutrition into our grocery shopping routine. If this seems like a lot, don't worry, it's not all on you to change! This episode also discusses critical food policy and the need for structural change to build more sustainable food systems. Learn more about Mary's work on her website marypurdy.co and follow her podcast The Nutrition Show. You can find Mary's books Serving the Broccoli Gods and The Microbiome Diet Reset on her website: marypurdy.co/books/ If you're in the Seattle area, you can bring your clean jars or containers and visit us at Scoop Marketplace in Kirkland or Renton. Find our online shop at scoopmarketplace.comFollow us on social media:@scoopintelligence@scoopmarketplace 

The PATHPod gals make the trek back up to the Pacific Northwest to have an incredible conversation with Mary Purdy, an Integrative & Eco Dietitian. Mary is the Big Brain behind the Nutrition Show Podcast and is an adjunct faculty lecturer at Bastyr University in Kenmore, Washington. The three of them sat down to talk a bit about the microbiome and perimenopause and ended up going down an entirely different path! The conversation took a natural turn to systems-thinking and root cause of disease, which lead to a discussion about social determinants of health and health disparities. Mary is a great story-teller with deep roots in the theater-world of NYC. She has an uncanny ability to take a complex topic and whittle it down into easy, first-step tips & tricks that can be used right away! Listen in and walk away with a wealth of info to put into practice today! To learn more about Mary and the work she is engaged in check her out here.

Can you be addicted to sugar? In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN, is joined by acclaimed research neuroscientist, sought-after speaker and pioneer in the field of food addiction, Nicole Avena, PhD, to discuss the science of sugar addiction – a topic hotly debated among healthcare professionals. Tune in to hear Dr. Avena share about the key findings from her groundbreaking research, the process of establishing criteria for a true sugar addiction and the importance of not going “cold turkey” when reducing added sugars in one's diet. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

Mealtime with children can seem like an inevitable uphill battle. In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN, has an enlightening conversation with one of the nation's premier childhood nutrition experts and member of the Orgain Nutrition Advisory Board, Jill Castle, MS, RDN. Learn strategies for keeping kids more engaged during meals, ways to manage picky eating and to slow the rush during family meals, and more expert tips from Jill to help you and your family enjoy mealtime together. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

Is intermittent fasting all hype or a powerful tool for health? In this episode of The Good Clean Nutrition Podcast, host Mary Purdy, MS, RDN, speaks with nationally-recognized nutrition and diabetes expert, best-selling author and Orgain Nutrition Advisory Board member Erin Palinski-Wade, RD, CDCES, CPT to dive deep into the number one diet trend of 2021. Tune in to get expert responses to burning questions on all aspects of intermittent fasting, including the potential benefits and the most effective intermittent fasting protocol. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

Stay in-the-know on the hottest trending topics in health and nutrition with The Good Clean Nutrition Podcast, sponsored by Orgain. Join host Mary Purdy, MS, RDN, an integrative dietitian and nutrition educator, as she speaks with some of the most inspiring and passionate subject-matter experts in nutrition, health, and wellness. Each episode explores the science behind popular trends in nutrition and health, debunks common myths, and provides healthcare professionals and health-minded consumers with practical insights from trusted experts. Disclaimer: This podcast is for informational purposes only and is not intended to be medical advice. The material discussed on this podcast, and displayed on the associated webpage, is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health regimen.

In the last episode, we talked about why the gut microbiome is important for your overall health. In this episode, Mary Purdy returns to bring more insight into how food can affect your microbiome!We answer these questions:- What lifestyle changes are important for the microbiome?- What depletes the microbiome?- How do we get proper nutrition from our food?- Is there a difference between organic/nutrition/conventionally grown nutrition?- How is Roundup affecting soil and nutrients in our food?Listen to part 1 of this microbiome series: https://rss.com/podcasts/fearlesshealthpodcast/251026/Connect with Mary:https://marypurdy.co/-Get 10% off your supplements with the promo code “podcast” at https://drannmariebarter.com/shop/Binding fiber support https://drannmariebarter.com/product/binding-fiber-support-capsules/IBS support probiotic powder https://drannmariebarter.com/product/ibs-support-probiotic-powder/IBS support Capsules https://drannmariebarter.com/product/ibs-support-probiotic-capsules/-Subscribe for more gut health content and share this podcast with a friend! Take a screenshot of this episode and tag Dr. Ann-Marie Barter:http://instagram.com/drannmariebarter-Dr. Ann-Marie Barter is a Functional Medicine and Chiropractic Doctor at Alternative Family Medicine & Chiropractic. She is the clinic founder of Alternative Family Medicine & Chiropractic that has two offices: one in Longmont and one in Denver. They treat an array of health conditions overlooked or under-treated by conventional medicine, called the "grey zone". https://altfammed.com/https://drannmariebarter.com/

Have you ever wondered why the gut microbiome is important for your health? Surprisingly, having a diverse gut microbiome is shown to have positive effects on your digestive system, immune system, and more! But what are practical action steps you should take to optimize your gut microbiome? We have the answers in this episode with Mary Purdy!-We answer these questions:- Why is the gut microbiome important?- What positively affects the microbiome?- How are the gut and brain connected?- Is there a correlation between gut health and autoimmune disease?- What foods should we eat to support the gut microbiome?Mary is an Integrative Eco-Dietitian with a Master's Degree from Bastyr University where she is currently adjunct faculty. She has been in clinical practice for over 12 years using a personalized medicine and functional nutrition approach. She has given over 100 nutrition workshops, speaks regularly at health and nutrition conferences and was the keynote speaker at Bastyr University's Commencement Ceremony 2019. Additionally, she hosts the podcast “The Nutrition Show” and authored the books “Serving the Broccoli Gods" and "The Microbiome Diet Reset." She is a trained Climate Reality Leader and a consultant working with organizations to create a sustainable and equitable food system that supports planetary health and helps to mitigate climate change.-Connect with Mary:https://marypurdy.co/-Get 10% off your supplements with the promo code “podcast” at https://drannmariebarter.com/shop/Binding fiber support https://drannmariebarter.com/product/binding-fiber-support-capsules/IBS support probiotic powder https://drannmariebarter.com/product/ibs-support-probiotic-powder/ IBS support Capsules https://drannmariebarter.com/product/ibs-support-probiotic-capsules/-Subscribe for more gut health content and share this podcast with a friend! Take a screenshot of this episode and tag Dr. Ann-Marie Barter:http://instagram.com/drannmariebarter-Dr. Ann-Marie Barter is a Functional Medicine and Chiropractic Doctor at Alternative Family Medicine & Chiropractic. She is the clinic founder of Alternative Family Medicine & Chiropractic that has two offices: one in Longmont and one in Denver. They treat an array of health conditions overlooked or under-treated by conventional medicine, called the "grey zone". https://altfammed.com/https://drannmariebarter.com/

Mary Purdy started off her career strong by already having her practice before she even finished her dietetic internship. Having helped cover for a clinical position part-time, she knew that the clinical setting wasn't for her. She took the time to create a newsletter telling friends and family what she did and how she could help them. Along with her private practice and being an adjunct professor at her alma mater, Mary started doing freelance work as a speaker. She soon realized how to set professional boundaries for herself and ensure that her speaking engagements were mutually beneficial. While working at a telehealth company, she continued to realize her passion for environmental nutrition and how important it was to the field. Like many dietitians, Mary likes to have her hands in several different projects at once and considers her career to be a bunch of freelance gigs and side projects. Topics Covered During PodcastThe insecurity and power of having your own business...rewordThe highs and lows of having your own business. Students who want their private practice before they are an RD.Creating a newsletter to build her community while she was in school.Working for free and knowing your worth. Examples of why you wouldn't charge for a HUGE talk. RD in the role of sustainability and the food system. Approaching food from an environmental perspective. How to be more involved, how to learn, about sustainability. Does this field require certifications? Introverts AND extroverts can thrive as a freelancer. Compensation as a freelancer. How to know/gauge how much to charge for your services.How to manage expectations for what you'll be paid for engagements/freelance gigs. How to negotiate pay for engagements. How she manages all the thoughts that come song with being an entrepreneur. How to figure out when you need a break/downtime.Mary's Links:Website - Marypurdy.coSustainability Resources - www.marypurdy.co/resources/#freedownloadsMary's podcast - TheNutritionShowLinkedIn - Mary PurdyFB - Mary Purdy IG - @MaryPurdyRDEnvironmental Nutrition DPG - www.hendpg.orgPLANETARY HEALTH COLLECTIVE - www.planetaryhealthcollective.orgFacebook Group - Planetary Health CollectiveInstagram - @PlanetaryHealthCollective

This week on The 4Ms (#015), I teamed up with Mary Purdy, Registered Dietician & we're talking all about: - Sustainable goals- Behavior change- Building healthy habits- The power of your "why."- Little improvements and why they matter- Digging into your values to motivate you- Why it's so powerful to make your own decisions about your behavior change- Shifting our mindsets from scarcity to abundance- How to add food in, instead of take it away- How to add more plant-based foods in- Favorite quick and easy meals for the busy mom- Reducing the carbon food print by adding plants!- Focusing on evaluating where you are at,  and asking yourself the question, "What do I think I could add in or change that I would actually do?"To listen, head to my bio for the link, or search “The 4Ms with Molly” wherever you listen to podcasts.Molly's Website: click hereFollow Molly on  Instagram here!You can find our guest, Mary Purdy @marypurdyrdYou can find  her website, here!